Keen, Jordan Valerie

Keen, Jordan Valerie is an individual health care provider with primary practice located at 130 Heights Ave , Inverness FL 34452-4571. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is her primary health care specialty. Keen, Jordan Valerie can be contacted via phone (352) 419-6570.

Contact Information

Primary practice address
130 Heights Ave Inverness FL 34452-4571
Phone: (352) 419-6570
Fax: (888) 639-2521
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT27862 Florida
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic 2251X0800X 2305204190 Virginia

Profile Details

NPI number 1154374924
LBN Legal business name Keen, Jordan Valerie
Credentials MSPT
Entity Individual
Sole proprietor 1 No
Enumeration date May 19th, 2006
Last updated Jul 12th, 2023 - about last year

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 1154374924 NPPES
Virginia MEDICAID 010206456
Virginia Other P00466835

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