Justin Mark Keen in Fairview - Sports Physician
Justin Mark Keen - NPI 1447343702
Justin Mark Keen is a Sports Physician in Fairview, Oklahoma. Justin Mark Keen practices all healthcare services and medical treatments related to Sports Physician. The NPI Number for Justin Mark Keen is 1447343702. The last update date is 2007-07-08.
Justin Mark Keen's current location address is 301 W Elm St, Fairview, Oklahoma. You can contact this provider via phone number 5802273515 and fax number 5802273667. The mailing address for Justin Mark Keen is 301 W Elm St, Fairview, Oklahoma. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Justin Mark Keen |
|---|---|
| Address | 301 W Elm St, Fairview, Oklahoma |
| Phone Number | 5802273515 |
| Fax Number | 5802273667 |
| Sole Proprietor | Y |
| Credentials | D.C. |
NPI Number Detail
| NPI Number | 1447343702 |
|---|---|
| Provider Enumeration Date | 2006-10-01 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 301 W Elm St |
|---|---|
| City | Fairview |
| State | Oklahoma (OK) |
| Post Code | 737371618 |
| Phone Number | 5802273515 |
| Fax Number | 5802273667 |
Provider's Primary Taxonomy Detail
| Speciality | Sports Physician |
|---|---|
| Taxonomy | 111Ns0005X |
| Licence No | 2433 |
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Definition: A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) |
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What is the unique 10-digit identification code assigned to Justin Mark Keen by the Centers for Medicare & Medicaid Services?
The Justin Mark Keen has been issued the NPI (National Provider Identifier) 1447343702, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Justin Mark Keen is physically located?
The Justin Mark Keen is physically situated at the following address: 301 W Elm St, Fairview, OK, 737371618.
What is the area of specialization for Justin Mark Keen, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Justin Mark Keen is Sports Physician, and the corresponding taxonomy code that categorizes this area of expertise is 111Ns0005X.
On what date did the Justin Mark Keen receive its 1447343702 assignment from the Centers for Medicare & Medicaid Services?
The Justin Mark Keen was assigned its 1447343702 by the Centers for Medicare & Medicaid Services on 2006-10-01.
As of what date were the Justin Mark Keen's details last updated?
The information pertaining to the Justin Mark Keen, including its address, specialty, and other details, was most recently updated on 2007-07-08.
NPI Number: 1063415297
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