Individual provider · Type 1 NPI
Kevin Keith Keen, DMD
Oral and Maxillofacial Surgery (Dentist) · Vicksburg, MS
NPI number
1578614640
Active
Practice location
1205 Mission Park Dr
Vicksburg, MS 39180-3747
Fax (601) 661-0367
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | 1223S0112X (MS) |
Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Another provider at this address
About NPI 1578614640
Kevin Keith Keen, DMD's National Provider Identifier is 1578614640, issued on Jan 16, 2007. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Vicksburg, MS. The record was last updated on Feb 26, 2008.