Individual
JACK KEANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1401 EAST UNIVERSITY BLVD, TUCSON, AZ 85721-0001
(520) 621-3471
Mailing address
1401 EAST UNIVERSITY BLVD, TUCSON, AZ 85721-0001
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
295164
AZ
Other
Enumeration date
08/25/2025
Last updated
08/25/2025
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