Christian Keene
Physician Assistant, Surgical in Wethersfield, CT. Individual provider (NPI-1).
NPI number1194354043
StatusActive
Last updated in NPPESJun 2, 2022
Details
- NPI
- 1194354043
- Entity type
- Individual (NPI-1)
- Name
- Christian Keene
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Apr 3, 2020
- Certification date
- Jun 2, 2022
- Last updated
- Jun 2, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AS0400X | Physician Assistant, Surgical | 5063 | CT | Yes |
Practice location
1290 Silas Deane HighwayHartford Healthcare Cvo
Wethersfield, CT 06109-4337
Phone 860-972-9093 · Fax 860-972-7040
Mailing address
1290 Silas Deane HighwayHartford Healthcare Cvo
Wethersfield, CT 06109-4337
Phone 860-972-9093 · Fax 860-972-7040
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