Individual
DR. JENNIFER NEWMAN KEAGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2614 ARTHUR ST, LOS ANGELES, CA 90065-3988
(213) 250-1300
Mailing address
2614 ARTHUR ST, LOS ANGELES, CA 90065-3988
(213) 250-1300
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
A64773
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A647730
MEDICAL PPIN #
CA
Enumeration date
08/15/2006
Last updated
09/27/2024
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