Individual
TIMOTHY KEENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2408 NEW HOLT RD, PADUCAH, KY 42001-7455
(270) 442-2929
Mailing address
2408 NEW HOLT RD, PADUCAH, KY 42001-7455
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
Other
Enumeration date
02/19/2018
Last updated
02/19/2018
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