Individual
ANGELA M KEEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
370 9TH AVE, SUITE 200, SALT LAKE CITY, UT 84103-2877
(801) 364-3613
(801) 322-1099
Mailing address
370 9TH AVE, SUITE 200, SALT LAKE CITY, UT 84103-2877
(801) 364-3613
(801) 322-1099
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
3288331205
UT
Other
Enumeration date
07/15/2006
Last updated
07/08/2007
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