Individual
DR. ANNALISE SUSAN KEEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6851 LENNOX AVE, VAN NUYS, CA 91405-4073
(818) 739-5457
Mailing address
6851 LENNOX AVE, VAN NUYS, CA 91405-4073
(818) 739-5457
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
A112968
CA
Other
Enumeration date
05/05/2008
Last updated
11/03/2021
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