Individual
JORDAN KEEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
401 BICENTENNIAL WAY, SANTA ROSA, CA 95403-2149
(707) 393-4000
Mailing address
401 BICENTENNIAL WAY, SANTA ROSA, CA 95403-2149
(707) 393-4000
Taxonomy
Speciality
Code
Description
License number
State
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
197047
CA
Other
Enumeration date
06/20/2011
Last updated
09/13/2024
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