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1184667644
JACK K KEENE
CARMEL, IN
NPI
1184667644
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: IN 01027792A)
Enumeration Date
2006-06-13
Last Update Date
2014-02-06
Business Address
Dr. JACK K KEENE MD
11700 N MERIDIAN ST
CARMEL, IN 46032-4656
Phone number: 317-688-3140
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Mailing Address
Dr. JACK K KEENE MD
250 N SHADELAND AVE STE 130 PROVIDER ENROLLMENT
INDIANAPOLIS, IN 46219-4959
Phone number:
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