Individual
MR. KEVIN MICHAEL KEANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2605 EASTERN AVE, SUITE #4, SACRAMENTO, CA 95821
(916) 486-8926
(916) 486-1440
Mailing address
2605 EASTERN AVE, SUITE #4, SACRAMENTO, CA 95821
(916) 486-8926
(916) 486-1440
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
29160
CA
Other
Enumeration date
01/19/2007
Last updated
07/08/2007
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