Individual
JENNIFER P. KEENE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
1600 SCOTTSVILLE RD, SUITE 101, BOWLING GREEN, KY 42104-3217
(270) 781-0028
(270) 781-0007
Mailing address
PO BOX 391, BOWLING GREEN, KY 42102-0391
(270) 781-0028
(270) 781-0007
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
R2876
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000375311
ANTHEM BC/BS
KY
01
—
1220943
CHA HEALTH
KY
05
—
88000633
—
KY
Enumeration date
03/14/2006
Last updated
07/09/2007
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