Mark Bernard Keen

Home Modifications Contractor · Evans, GA

Individual Active NPI

NPI number 1578310652

Practice location

515 Fairfield Way
Evans, GA 30809-3619
Phone
(786) 715-7845

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NPI record

NPI
1578310652
Entity type
Individual (Type 1)
Enumeration date
May 6, 2024
Last updated
May 6, 2024
Certified
May 6, 2024
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Home Modifications Contractor Primary 171WH0202X 84-4617478 GA

About Mark Keen

Mark Bernard Keen is a healthcare provider registered in the NPI registry with the primary taxonomy Home Modifications Contractor (code 171WH0202X). The practice location is 515 Fairfield Way, Evans, GA 30809-3619. The NPI number 1578310652 was assigned on May 6, 2024 and the record was last updated on May 6, 2024.

Mark Keen lists a license in the registry: #84-4617478 (GA) for Home Modifications Contractor. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Mark Bernard Keen?

The NPI number is 1578310652.

What is the phone number of Mark Keen?

The phone number listed for the practice location is (786) 715-7845.

Where is Mark Keen located?

515 Fairfield Way, Evans, GA 30809-3619.

What is the taxonomy code for Mark Keen?

The primary taxonomy code is 171WH0202X – Home Modifications Contractor.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.