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Individual

KEENER B RAGSDALE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
164 MOUNT PELIA RD, MARTIN, TN 38237-3812
(731) 587-5900
(731) 587-5908
Mailing address
3249 W SARAZENS CIR, MEMPHIS, TN 38125-0807
(901) 756-5565
(901) 756-5564

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD00000013458
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
112377001
AR
05
15175
MS
01
2588782
CIGNA
05
3015256
TN
01
40MD0013458
UNITED HEALTH
01
77556
BCBSTN
TN
Enumeration date
09/22/2005
Last updated
07/18/2013
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