Individual
DR. CARLA MARIE KEENE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
15189 PORTERFIELD HWY, ABINGDON, VA 24210
(276) 676-0070
(276) 676-0880
Mailing address
PO BOX 287, ABINGDON, VA 24212-0287
(276) 676-0070
(276) 676-0880
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401007589
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9178537
—
VA
Enumeration date
09/21/2006
Last updated
07/08/2007
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