Keene Osteopathy INC
Family Medicine in Santa Cruz, CA. Organization (NPI-2).
NPI number1982161428
StatusActive
Last updated in NPPESFeb 20, 2019
Details
- NPI
- 1982161428
- Entity type
- Organization (NPI-2)
- Legal business name
- Keene Osteopathy INC
- Organization subpart
- No
- Enumeration date
- Feb 20, 2019
- Last updated
- Feb 20, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
Practice location
555 Soquel Ave Ste 350Santa Cruz, CA 95062-2320
Phone 831-421-9222
Mailing address
1507 Laurel StSanta Cruz, CA 95060-3522
Phone 831-316-5160
Authorized official
Kyle Roy Keene
Ceo
5302202230
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