MEDICARE: DR. ROWAN M KENEE OD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	0004142	CO

General Provider Information

NPI Number	:	1649154816
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROWAN M KENEE OD

Provider Business Mailing Address
First Line	:	1176 ALOHA ST STE 400
Second Line	:
City	:	CASTLE ROCK
State	:	CO
Zip	:	80108-2836
Country	:	US
Telephone Number	:	303-688-4044
Fax Number	:	720-325-1275

Provider Business Practice Location Address
First Line	:	1176 ALOHA ST STE 400
Second Line	:
City	:	CASTLE ROCK
State	:	CO
Zip	:	80108-2836
Country	:	US
Telephone Number	:	303-688-4044
Fax Number	:	720-325-1275

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/01/2025
Last Update Date	:	08/01/2025

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