Active NPIIndividual providerSole proprietor

Christian Keene

Physician Assistant, Surgical in Wethersfield, Connecticut

NPI Number1194354043
Practice location
1290 Silas Deane Highway, Hartford Healthcare Cvo, Wethersfield, CT 06109-4337
Fax
860-972-7040
Last updated
June 2, 2022

Christian Keene is a Physician Assistant, Surgical based in Wethersfield, CT. Christian Keene practices in Wethersfield, CT. The NPI Number for Christian Keene is 1194354043 and holds a License No. 5063 (CT). The current practice location address for Christian Keene is 1290 Silas Deane Highway, Hartford Healthcare Cvo, Wethersfield, CT 06109-4337 and can be reached out via phone at 860-972-9093 and via fax at 860-972-7040.

Provider Profile Details

NPI Number
1194354043
Provider Name
Christian Keene
Provider Entity Type
Individual
Gender
Male
Address
1290 Silas Deane Highway, Hartford Healthcare Cvo, Wethersfield, CT 06109-4337
Phone Number
860-972-9093
Fax Number
860-972-7040
Primary Taxonomy
Physician Assistant, Surgical · 363AS0400X
Sole Proprietor
Yes
Provider Enumeration Date
April 3, 2020
Last Update Date
June 2, 2022
Certification Date
June 2, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
1290 Silas Deane Highway
Hartford Healthcare Cvo
Wethersfield, CT 06109-4337
Zip
06109-4337
Phone Number
860-972-9093
Fax Number
860-972-7040
Wethersfield, CT 06109Get directions →

Provider Business Mailing Address Details

Address
1290 Silas Deane Highway
Hartford Healthcare Cvo
Wethersfield, CT 06109-4337
City
Wethersfield
State
CT
Zip
06109-4337
Phone Number
860-972-9093
Fax Number
860-972-7040

License Information

License Number
5063
License State
CT
Taxonomy
Physician Assistant, Surgical · 363AS0400X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Christian Keene?

The NPI number of Christian Keene is 1194354043. It was assigned on April 3, 2020 and is currently active in the NPPES registry.

What is the specialty of Christian Keene?

Christian Keene is registered under the primary taxonomy Physician Assistant, Surgical (code 363AS0400X), licensed in CT under license number 5063.

Where does Christian Keene practice?

The practice location is 1290 Silas Deane Highway, Hartford Healthcare Cvo, Wethersfield, CT 06109-4337. The office can be reached at 860-972-9093 (phone) or 860-972-7040 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1194354043 directly on the NPPES registry website.

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