Individual
DR. KEVIN KEITH KEEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
1205 MISSION PARK DR, VICKSBURG, MS 39180-3747
(601) 661-0034
(601) 661-0367
Mailing address
1205 MISSION PARK DR, VICKSBURG, MS 39180-3747
(601) 661-0034
(601) 661-0367
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
1223S0112X
MS
Other
Enumeration date
01/16/2007
Last updated
02/26/2008
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