Healthcare Provider Details

I. General information

NPI: 1598944209
Provider Name (Legal Business Name): STEVEN MURRAY KEENE NP, RN
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/30/2007
Last Update Date: 03/21/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15 MID COAST DR
BELFAST ME
04915-6079
US

IV. Provider business mailing address

35 MEDICAL CENTER PKWY
AUGUSTA ME
04330-8160
US

V. Phone/Fax

Practice location:
  • Phone: 207-338-2295
  • Fax: 207-338-2388
Mailing address:
  • Phone: 207-626-1000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0809X
TaxonomyAdult Psychiatric/Mental Health Registered Nurse
License NumberCNP81877
License Number StateME
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN35503
License Number StateME

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: