Individual
SUSAN E KEENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10100 SHANNON WOODS ST, WICHITA, KS 67226-4103
(316) 858-1900
Mailing address
10100 SHANNON WOODS ST, WICHITA, KS 67226-4103
(316) 858-1900
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1102260
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
07241970
DATE OF BIRTH
KS
Enumeration date
02/17/2009
Last updated
05/11/2026
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