NPI 1194354043

Christian Keene

Practitioner Surgical Physician Assistant Wethersfield, CT

Practice location

Address: 1290 Silas Deane Highway Hartford Healthcare Cvo, Wethersfield, CT 06109-4337
Phone: (860) 972-9093
Fax: (860) 972-7040

Registered specialties

Surgical Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AS0400X Licence 5063 (CT)

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Registry record

NPI: 1194354043
Entity type: Individual
Sex (as registered): Male
NPI issued: 3 Apr 2020
Record last updated: 2 Jun 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.