Search › Connecticut › 124Q00000X
Raeven Keene
NPI 1356996920 · on the registry since 2019 · sole proprietor
Practice
- Address
- 80 Phoenix Ave
Waterbury, CT 06702 - Phone
- (203) 756-8021
- Organisation at this address
- Elias C Deros Dmd Llc
Staywell Health Care, Inc.
Podiatry Associates Of Waterbury Pc
Radiology Associates Of Waterbury, PcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 59
Registry record
- Primary taxonomy
- 124Q00000X
124Q00000X
- Licence states on file
- CT
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2019-08-09
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Connecticut