Individual
MARILYN C KEEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4500 8TH DIVISION RD, COLUMBIA, SC 29207-5700
(803) 751-0531
Mailing address
PO BOX 6069, WEST COLUMBIA, SC 29171-6069
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3188
SC
363AS0400X
Surgical Physician Assistant
3188
SC
Other
Enumeration date
06/18/2010
Last updated
07/10/2025
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