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Individual

MR. DOUGLAS EDWARD KEEN

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
LAT,ATC,RTR

Contact information

Practice address
755 W CARMEL DR, SUITE 150, CARMEL, IN 46032-5877
(317) 876-7503
(317) 595-1190
Mailing address
16720 YEOMAN WAY, WESTFIELD, IN 46074-8092
(317) 867-0868

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
IN

Other

Enumeration date
02/15/2006
Last updated
07/08/2007
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