Keen, Stacey J
Keen, Stacey J is an individual health care provider with primary practice located at 7253 Ambassador Rd. , Baltimore MD 21244-2714. She recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as her primary health care specialty. Keen, Stacey J can be contacted via phone (443) 436-1114.Contact Information
Primary practice address
7253 Ambassador Rd.
Baltimore MD 21244-2714
Phone: (443) 436-1114
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | D32450 | Maryland |
Profile Details
| NPI number | 1972571958 |
|---|---|
| LBN Legal business name | Keen, Stacey J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 8th, 2006 |
| Last updated | Jan 15th, 2014 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1972571958 | NPPES |
| Maryland | MEDICAID | 546871000 |
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