Individual
JOHN D KEENER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
600 JACKSON ST, FREDERICKSBURG, VA 22401-5719
(540) 373-6876
Mailing address
12300 CATHARINES FURNACE CT, SPOTSYLVANIA, VA 22553-3820
(540) 735-6600
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
24190811
VA
Other
Enumeration date
07/18/2024
Last updated
07/18/2024
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