Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YX0007X | Plastic Surgeon (Head & Neck) | MD025680L | PA |
NPI | 1679878615 |
---|---|
Provider Name | Dr. Herbert Kean |
First Address | Key Biscayne, FL 33149 |
Second Address | Key Biscayne, FL 33149 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/01/2011 |
Last Update Date | 24/01/2011 |