Provider Demographics
NPI:1881146207
Name:KEENE MEDICAL PRODUCTS LLC
Entity type:Organization
Organization Name:KEENE MEDICAL PRODUCTS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWER
Authorized Official - Prefix:MR
Authorized Official - First Name:KEITH
Authorized Official - Middle Name:
Authorized Official - Last Name:FILIAULT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:603-448-5290
Mailing Address - Street 1:5 LANDING RD
Mailing Address - Street 2:
Mailing Address - City:ENFIELD
Mailing Address - State:NH
Mailing Address - Zip Code:03748-3545
Mailing Address - Country:US
Mailing Address - Phone:603-448-5290
Mailing Address - Fax:603-632-8988
Practice Address - Street 1:5 LANDING RD
Practice Address - Street 2:
Practice Address - City:ENFIELD
Practice Address - State:NH
Practice Address - Zip Code:03748-3545
Practice Address - Country:US
Practice Address - Phone:603-448-5290
Practice Address - Fax:603-632-8988
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-02
Last Update Date:2016-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies