Individual
CHRISTIAN KEENE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1290 SILAS DEANE HIGHWAY, HARTFORD HEALTHCARE CVO, WETHERSFIELD, CT 06109-4337
(860) 972-9093
(860) 972-7040
Mailing address
1290 SILAS DEANE HIGHWAY, HARTFORD HEALTHCARE CVO, WETHERSFIELD, CT 06109-4337
(860) 972-9093
(860) 972-7040
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
5063
CT
Other
Enumeration date
04/03/2020
Last updated
06/02/2022
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