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Individual

DR. LEE THOMAS KEENEN JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.P.M.

Contact information

Practice address
913 S MAIN ST, DEL RIO, TX 78840-5807
(830) 774-5534
(830) 774-0890
Mailing address
PO BOX 1470, EAGLE PASS, TX 78853-1470
(830) 773-8917
(830) 773-1892

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
0668
AZ
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
1925
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
217985501
TX
Enumeration date
08/28/2007
Last updated
11/09/2023
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