Keen Health & Wellness Inc

Key facts

NPI

1104120583

Entity type

Organization (NPI type 2)

Primary specialty

Nurse Practitioner 363L00000X

Legal business name

KEEN HEALTH & WELLNESS INC

Practice address

1355 US Highway 80 W
Demopolis, AL 36732-4125

Phone

(334) 289-4445

Fax

(334) 289-2778

NPI assigned

Dec 29, 2010

Organization subpart

No

Authorized official

Name

Dr. Peter Keen, D.C. NPI 1215988647

Title

Owner

Phone

(334) 289-4445

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Peter Keen, D.C. Chiropractor · Demopolis, AL · NPI 1215988647
  NPD (past) Authorized official
• John C Simmons, MD General Practice Physician · Linden, AL · NPI 1104832724
  NPD (past)

National Provider Directory

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Dec 29, 2010.

{
    "created_epoch": "1293580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1293580800000",
    "number": "1104120583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1355 US HIGHWAY 80 W",
            "city": "DEMOPOLIS",
            "state": "AL",
            "postal_code": "367324125",
            "telephone_number": "334-289-4445",
            "fax_number": "334-289-2778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1355 US HIGHWAY 80 W",
            "city": "DEMOPOLIS",
            "state": "AL",
            "postal_code": "367324125",
            "telephone_number": "334-289-4445",
            "fax_number": "334-289-2778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEEN HEALTH & WELLNESS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-29",
        "last_updated": "2010-12-29",
        "status": "A",
        "authorized_official_last_name": "KEEN",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "334-289-4445",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Demopolis, AL

• Margaret Hurns I
• Icare LLC
• James Dreading Family Dentistry, P.C.
• Ty'Keria Jones
• Keen Chiropractic Clinic, Inc.
• Peter Keen, D.C.
• Jeremy Anderson Kelley, CRNP
• Nakieta Lankster, PSYD
• Cassandra Latham, NURSE PRACTITIONER
• Legacy Hospice of the East, LLC

All providers in Demopolis, AL · Nurse Practitioner in Alabama