Individual provider · Type 1 NPI
Jack C. Keen, MD
Specialist · Cresson, TX
NPI number
1063759652
Active
Practice location
408 Stone Mountain Ct
Cresson, TX 76035-5628
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | G4144 (TX) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
About NPI 1063759652
Jack C. Keen, MD's National Provider Identifier is 1063759652, issued on Jan 15, 2013. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Cresson, TX. The record was last updated on Jan 15, 2013.