Individual
KYLEY MARISSA KEENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3000 ARLINGTON AVE STE 2C, TOLEDO, OH 43614-2598
(419) 383-3759
(419) 383-2962
Mailing address
3000 ARLINGTON AVE STOP 1108, TOLEDO, OH 43614-2595
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.008490RX
OH
363AS0400X
Surgical Physician Assistant
Primary
—
OH
Other
Enumeration date
09/26/2023
Last updated
01/15/2026
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