Organization
KEEN SALES GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RANDALL TOMES (CO CEO)
(423) 223-8000
Entity
Organization
Contact information
Practice address
5940 S HIGHWAY 1651, PINE KNOT, KY 42635-6102
(423) 223-8000
Mailing address
5940 S HIGHWAY 1651, PINE KNOT, KY 42635-6102
Taxonomy
Speciality
Code
Description
License number
State
207SG0202X
Clinical Biochemical Genetics Physician
Primary
—
—
2083T0002X
Medical Toxicology (Preventive Medicine) Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0040134461
—
KY
Enumeration date
01/02/2020
Last updated
01/02/2020
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