NPI Code Detail JSON Logo

1851362966 NPI number — MARC ELWIN KEEN M.D.

NPI Number: 1851362966
Health Care Provider/Practitioner: MARC ELWIN KEEN M.D.

Information about “1851362966” NPI (MARC ELWIN KEEN M.D.) exists in 1851362966 in HTML format HTML  |  1851362966 in plain Text format TXT  |  1851362966 in PDF (Portable Document Format) PDF  |  1851362966 in an XML format XML  formats.

NPI Number : 1851362966 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1851362966",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "KEEN",
    "FirstName": "MARC",
    "MiddleName": "ELWIN",
    "NamePrefix": "MR.",
    "NameSuffix": null,
    "Credential": "M.D.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "PO BOX 306",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "LUDINGTON",
    "MailingAddressStateName": "MI",
    "MailingAddressPostalCode": "49431-0306",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "231-845-2362",
    "MailingAddressFaxNumber": "231-845-2440",
    "FirstLinePracticeLocationAddress": "1 N ATKINSON DR",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "LUDINGTON",
    "PracticeLocationAddressStateName": "MI",
    "PracticeLocationAddressPostalCode": "49431-1906",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "231-845-2362",
    "PracticeLocationAddressFaxNumber": "231-845-2440",
    "EnumerationDate": "01/27/2006",
    "LastUpdateDate": "01/15/2008",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "207ZC0500X",
          "TaxonomyName": "Cytopathology Physician",
          "LicenseNumber": "4301057451",
          "LicenseNumberStateCode": "MI",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "207ZP0102X",
          "TaxonomyName": "Anatomic Pathology & Clinical Pathology Physician",
          "LicenseNumber": "4301057451",
          "LicenseNumberStateCode": "MI",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.