Individual
KAITLYN BURGESS KEEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1409 KINGSLEY AVE, ORANGE PARK, FL 32073-4537
(904) 269-1419
Mailing address
1045 E STEWART AVE BLDG 2012T, COLORADO SPRINGS, CO 80914-2900
(719) 556-1333
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN21499
FL
Other
Enumeration date
06/29/2015
Last updated
10/21/2024
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