Individual
AUDREY ELIZABETH KEEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5510 ALMA LN, SPRINGFIELD, VA 22151-4027
(703) 642-5990
Mailing address
5843 NEW ENGLAND WOODS DR, BURKE, VA 22015-2963
(571) 317-5196
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-005839
VA
Other
Enumeration date
01/13/2011
Last updated
09/03/2020
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