Organization
KEENE CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BENJAMIN MARTINEZ-ANDUJO NP (CEO)
(303) 732-4268
Entity
Organization
Contact information
Practice address
190 S MAIN STREET, KEENESBURG, CO 80643-0559
(303) 732-4268
(303) 732-9288
Mailing address
190 S MAIN STREET, PO BOX 559, KEENESBURG, CO 80643-0559
(303) 732-4268
(303) 732-9288
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
11/08/2007
Last updated
02/15/2011
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