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1164783049
KYLE R KEENE
SANTA CRUZ, CA
NPI
1164783049
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: CA 20A12461)
Enumeration Date
2012-06-06
Last Update Date
2019-08-12
Business Address
KYLE R KEENE D.O.
1301 MISSION ST
SANTA CRUZ, CA 95060-3530
Phone number: 831-458-6300
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Mailing Address
KYLE R KEENE D.O.
1507 LAUREL ST
SANTA CRUZ, CA 95060-3522
Phone number: 831-421-2667
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