STEPHEN ROBERT KEENER

Address: 249 Billingsley Rd, Charlotte, NC 28211-1003
Phone: 7043364705

STEPHEN ROBERT KEENER (NPI# 1083757884) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1083757884
Entity Type 1 - Individual
Full Name STEPHEN ROBERT KEENER
Credential MD
Practice Address 249 Billingsley Rd
Charlotte
NC 28211-1003
Mailing Address 4617 Colony Rd Apt I
Charlotte
NC 28226-4984
Practice Telephone 7043364705
Practice Fax Number 7043364709
Mailing Telephone 7045510715
Enumeration Date 02/14/2007
Last Update Date 07/08/2007
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
X 207Q00000X Family Medicine 28053 NC Allopathic & Osteopathic Physicians
X 2083P0901X Preventive Medicine
Specialization: Public Health & General Preventive Medicine
28053 NC Allopathic & Osteopathic Physicians

Office Location

Street Address 249 BILLINGSLEY RD
City CHARLOTTE
State NC
Zip Code 28211-1003

Providers with the same location

NPI Name Address
1356367080 LENA KATHERINE WHITE 249 Billingsley Rd, Charlotte, NC 28211-1003
1013013986 MRS. RUBYE BURKS WALLACE 249 Billingsley Rd, Charlotte, NC 28211-1003
1750487633 MS. GAIL FOX 249 Billingsley Rd, Charlotte, NC 28211-1003
1285730168 NATASHA C CORLEY 249 Billingsley Rd, Charlotte, NC 28211-1003
1124124094 MONIQUE MARIE ROBINSON 249 Billingsley Rd, Charlotte, NC 28211-1003
1700982501 MRS. DIANNA PERRY HIGH 249 Billingsley Rd, Charlotte, NC 28211-1003
1942306667 MRS. GRACE GORDON GIBSON 249 Billingsley Rd, Charlotte, NC 28211-1003
1982700712 MS. ROBIN KAY CROSS MCINTYRE 249 Billingsley Rd, Charlotte, NC 28211-1003
1972609857 MISS KIMBERLY MARIE WHITMORE 249 Billingsley Rd, Charlotte, NC 28211-1003
1881790764 MRS. KAYLINDA KATRICIA BUNDICK 249 Billingsley Rd, Charlotte, NC 28211-1003

Competitor

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City CHARLOTTE
Zip Code 28211

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.