Individual
MATTHEW KEEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
12700 SOUTHFORK RD STE 280, SAINT LOUIS, MO 63128-3287
(314) 892-6565
(314) 892-4828
Mailing address
12700 SOUTHFORK RD STE 280, SAINT LOUIS, MO 63128-3287
(314) 892-6565
(314) 892-4828
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2016035658
MO
Other
Enumeration date
10/05/2016
Last updated
06/03/2026
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