Keene, Wendy H

Keene, Wendy H is an individual health care provider with primary practice located at 750 Main St , Reisterstown MD 21136-2515. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Keene, Wendy H can be contacted via phone (410) 526-7800.

Contact Information

Primary practice address
750 Main St Reisterstown MD 21136-2515
Phone: (410) 526-7800
Fax: (410) 584-1887
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X C0003038 Maryland

Profile Details

NPI number 1902945082
LBN Legal business name Keene, Wendy H
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 6th, 2007
Last updated Sep 12th, 2016 - about 9 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 1902945082 NPPES
Maryland Other CN6601 R/R MEDICARE GROUP
Maryland Other P00681528 R/R MEDICARE GROUP

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