Individual
DR. JOSEPH KEITH KEENER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3604 BUSH ST, 2ND FLOOR, RALEIGH, NC 27609-7511
(919) 876-7807
(919) 876-8823
Mailing address
3604 BUSH ST, 2ND FLOOR, RALEIGH, NC 27609-7511
(919) 876-7807
(919) 876-8823
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
23576
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
47988
BCBS PROVIDER NUMBER
NC
05
—
8947988
—
NC
Enumeration date
01/10/2006
Last updated
07/08/2007
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