Mr. Robert Donald Keen
Nurse Practitioner Family Doctor - Hospice and Palliative Medicine Nurse Practitioner - Primary Care
2602 Rolling Rd
Valdosta
, Georgia 31602-1218
Mr. Robert Donald Keen
Nurse Practitioner Family Doctor - Hospice and Palliative Medicine Nurse Practitioner - Primary Care
2602 Rolling Rd
Valdosta
, Georgia 31602-1218
(229) 560-4575
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About
Features
Specialties
- Family Doctor - Hospice and Palliative Medicine
- Nurse Practitioner
- Nurse Practitioner - Primary Care
Languages spoken
- English
Location
First Address
- Mr. Robert Donald Keen
- 2602 Rolling Rd
- Valdosta, GA
- Zip : 31602-1218
- Phone : (229) 560-4575
Second Address
- Mr. Robert Donald Keen
- 2602 Rolling Rd
- Valdosta, GA
- Zip : 31602-1218
- Phone : (229) 560-4575
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | RN105604 | GA |
| N | 363L00000X | Nurse Practitioner | RN105604 | GA |
| N | 363LP2300X | Nurse Practitioner - Primary Care | RN105604 | GA |
National Provider Identifier
| NPI | 1023652948 |
|---|---|
| Provider Name | Mr. Robert Donald Keen |
| First Address | Valdosta, GA 31602-1218 |
| Second Address | Valdosta, GA 31602-1218 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 04/11/2019 |
| Last Update Date | 14/01/2022 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.