Keehbauch, Jennifer

Keehbauch, Jennifer is an individual health care provider with primary practice located at 133 Benmore Drive Suite 200, Winter Park FL 32792-4143. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Keehbauch, Jennifer can be contacted via phone (407) 646-7070.

Contact Information

Primary practice address
133 Benmore Drive Suite 200 Winter Park FL 32792-4143
Phone: (407) 646-7070
Fax: (407) 646-7757
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME 0075471 Florida

Profile Details

NPI number 1295724946
LBN Legal business name Keehbauch, Jennifer
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 2005
Last updated Jun 30th, 2010 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295724946 NPPES
Florida MEDICAID 257129300

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