SARAH MITCHUM KEEN RN
NPI 1033702923
Nurse Practitioner - Pediatrics in Kennesaw, GA
Active since February 11, 2021
About Sarah Mitchum Keen Rn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SARAH MITCHUM KEEN RN (NPI 1033702923) is an individual pediatrics provider in Kennesaw, Georgia, licensed in Georgia (RN287822) and active in the NPI registry since February 2021.
NPPES Registry Identity
NPI1033702923
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameSARAH MITCHUM KEENCredential: RN
Location Address1770 DENNIS KEMP LN NWKennesaw, GA 30152-3938
Mailing Address4106 Antler Trl SeSmyrna, GA 30082-3900 · (843) 906-7920
Phone(770) 515-9000
Sole ProprietorYes
Enumeration DateFebruary 11, 2021
Last NPPES UpdateApril 14, 20232 updates tracked since enumeration
NPPES CertifiedApril 14, 2023
✔ NPI 1033702923 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses 2
★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in GA · RN287822
Also ListedRegistered NurseTaxonomy 163W00000X · License RN287822 (GA)
1770 DENNIS KEMP LN NW, Kennesaw, GA 30152
Other Providers at the Same Location NPPES 7
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Clinic/Center (Primary Care)
1770 DENNIS KEMP LN NW
KENNESAW, GA 30152
KENNESAW, GA 30152
Nurse Practitioner (Pediatrics)
1770 DENNIS KEMP LN NW
KENNESAW, GA 30152
KENNESAW, GA 30152
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1033702923, enumerated as an "individual" on February 11, 2021.
The provider is located at 1770 DENNIS KEMP LN NW KENNESAW, GA 30152 and the phone number is (770) 515-9000.
Nurse Practitioner with taxonomy code 363LP0200X and a focus in Pediatrics.
