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Individual

JEREMIAH KEENE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1236 HUFFMAN MILL RD STE 130, BURLINGTON, NC 27215-8700
(336) 438-1060
(336) 438-1077
Mailing address
6811 SEATTLE SLEW PL, WHITSETT, NC 27377-6001
(336) 554-6181

Taxonomy

Speciality
Code
Description
License number
State
363LC0200X
Critical Care Medicine Nurse Practitioner
Primary
5011397
NC

Other

Enumeration date
01/25/2019
Last updated
01/25/2019
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