NPI 1225490774 · live from the CMS NPI Registry
Jennifer Keene, M.D.
Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology in Salt Lake City, UT. National Provider Identifier 1225490774, active.
NPI record
| NPI | 1225490774 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology 2084N0402X |
| Practice location | 100 N Mario Capecchi Dr, Salt Lake City, UT 84113 |
| Practice phone | 206-987-2525 |
| Enumerated | March 23, 2016 |
| Last updated | May 5, 2023 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatrics | 208000000X | ML60657210 (WA) |
| Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology primary | 2084N0402X | 12810856-1205 (UT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.