Search › Mississippi › Oral and Maxillofacial Surgery (Dentist)
Kevin Keen, D.M.D
NPI 1578614640 · on the registry since 2007 · sole proprietor
Practice
- Address
- 1205 Mission Park Dr
Vicksburg, MS 39180 - Phone
- (601) 661-0034
- Fax
- (601) 661-0367
- Organisation at this address
- Southern Oral And Maxillofacial Surgery Center, Inc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- Oral and Maxillofacial Surgery (Dentist)
1223S0112X
- Licence states on file
- MS
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2008-02-26
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 Mississippi