MEDICARE: DR. SHARON A KEENE MD

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	208600000X	Surgery Physician	16135	AZ
2	208600000X	Surgery Physician	2911	AK
3	208600000X	Surgery Physician	34137	MN
4	208600000X	Surgery Physician	013518	ME
5	208600000X	Surgery Physician	33945	WI
6	208600000X	Surgery Physician	32191	CO

General Provider Information

NPI Number	:	1942434386
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SHARON A KEENE MD

Provider Business Mailing Address
First Line	:	3940 N CAMBPELL AVE
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85719
Country	:	US
Telephone Number	:	520-290-5555
Fax Number	:	520-290-6520

Provider Business Practice Location Address
First Line	:	2940 N SWAN RD STE 130
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85712-6016
Country	:	US
Telephone Number	:	520-290-5555
Fax Number	:	520-290-6520

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

Provider Enumeration Date	:	05/13/2009
Last Update Date	:	02/24/2026

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