Mary Keen, DPH
Individual provider Active NPI Ambulatory Care Pharmacist · MC Kenzie, TN
NPI 1861363616 · NPPES record last updated Sep 15, 2025
Key facts
- NPI
- 1861363616
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Ambulatory Care Pharmacist 1835P2201X
- License
- 46793 (TN)
- Practice address
- 15385 Highland Dr
MC Kenzie, TN 38201-2501 - Phone
- (731) 352-0820
- NPI assigned
- Sep 15, 2025
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 46793 | TN | MD | Ambulatory Care Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Care Pharmacist | 1835P2201X | 46793 | TN | Yes |
Addresses
Primary practice location
15385 Highland Dr
MC Kenzie, TN 38201-2501
Mailing address
15385 Highland Dr
MC Kenzie, TN 38201-2501
Phone (731) 352-0820
Other providers in MC Kenzie, TN
- Gyu Chang Jo
- John E Motheral
- Tamiko Johns
- David Andrew Johnson
- Courtney Kee
- Laboratory Corporation of America Holdings
- Cynthia H Laux
- William Clark Lemons
- Sarah Leyerle
- Amber Nicole Lipford
All providers in MC Kenzie, TN · Ambulatory Care Pharmacist in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 15, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.