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Travis Keane
NPI 1528808128 · on the registry since 2024
Practice
- Address
- 3531 43rd St
San Diego, CA 92105 - Phone
- (760) 212-8408
Registry record
- Primary taxonomy
- 390200000X
390200000X
- Also registered as
- 163WC0200X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-05-30
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 California