Individual
DR. JENNIFER KEEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
14810 OLD SAINT AUGUSTINE RD, SUITE 106, JACKSONVILLE, FL 32258-2451
(904) 268-7701
(904) 268-9708
Mailing address
PO BOX 45443, SALT LAKE CITY, UT 84145-0443
(904) 202-1032
(904) 376-4107
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME93875
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2735270-00
—
FL
Enumeration date
07/17/2006
Last updated
12/28/2018
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