CHRISTIAN KEENE NPI 1194354043

NPI Information

  • NPI: 1194354043
  • Provider Name: CHRISTIAN KEENE
  • Classification: Physician Assistant - 363AS0400X
  • Specialization: Surgical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1290 SILAS DEANE HIGHWAY
    HARTFORD HEALTHCARE CVO
    WETHERSFIELD, CT
    ZIP 06109
  • Phone: (860) 972-9093

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NPI Details

Christian Keene is a surgical physician assistant in Wethersfield, CT with 5 years of experience. Christian Keene NPI is 1194354043. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1290 SILAS DEANE HIGHWAY
HARTFORD HEALTHCARE CVO
WETHERSFIELD, CT
ZIP 06109-337
Phone: (860) 972-9093
Fax: (860) 972-7040

The NPI 1194354043 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/3/2020 and was last updated on 6/2/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363AS0400XPhysician AssistantSurgical5063CONNECTICUTYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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