Individual
DR. HEATHER MICHELLE KEENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1925 MOUNTAIN VIEW AVE, STE 400, LONGMONT, CO 80501-3128
(303) 776-1234
(720) 494-3107
Mailing address
1925 MOUNTAIN VIEW AVE, STE 400, LONGMONT, CO 80501-3128
(303) 776-1234
(720) 494-3107
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
DR.0038013
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32350872
—
CO
Enumeration date
06/14/2005
Last updated
02/02/2017
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