Individual provider · Type 1 NPI
Mark Bernard Keen
Home Modifications Contractor · Evans, GA
NPI number
1578310652
Active
Practice location
515 Fairfield Way
Evans, GA 30809-3619
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Home Modifications Contractor Primary | 171WH0202X | 84-4617478 (GA) |
Home Modifications Contractor: A contractor who makes modifications to homes to accommodate a health condition.
About NPI 1578310652
Mark Bernard Keen's National Provider Identifier is 1578310652, issued on May 6, 2024. The primary taxonomy on file is Home Modifications Contractor (171WH0202X), and the practice location is in Evans, GA. The record was last updated on May 6, 2024.