Individual
JOHN R. KEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
479 PARSONS AVE, COLUMBUS, OH 43215-5577
(614) 722-5175
(614) 722-5581
Mailing address
700 CHILDRENS DR, ED BLD. 3 FLOOR, COLUMBUS, OH 43205-2664
(614) 722-4823
(614) 722-3903
Taxonomy
Speciality
Code
Description
License number
State
207XP3100X
Pediatric Orthopaedic Surgery Physician
Primary
35038204
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0383339
—
OH
01
—
2514292
BCMH
OH
01
—
4015535
AETNA
OH
Enumeration date
08/23/2005
Last updated
11/30/2012
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