1. Home
  2. Directory
  3. Georgia
  4. Evans
  5. Contractor
  6. NPI Profile

MR. MARK BERNARD KEEN
NPI 1578310652
Contractor - Home Modifications in Evans, GA

Active since May 06, 2024
515 FAIRFIELD WAY, EVANS, GA 30809(786) 715-7845 Get Directions Write a Review

NPPES record last updated: May 6, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Mark Bernard Keen NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. MARK BERNARD KEEN (NPI 1578310652) is an individual home modifications provider in Evans, Georgia, licensed in Georgia (84-4617478) and active in the NPI registry since May 2024.

NPPES Registry Identity

NPI1578310652
Entity TypeIndividualMale
Primary Taxonomy171WH0202X
Provider Legal NameMR. MARK BERNARD KEEN
Location Address515 FAIRFIELD WAYEvans, GA 30809-3619
Mailing Address515 Fairfield WayEvans, GA 30809-3619 · (786) 715-7845
Phone(786) 715-7845
Sole ProprietorYes
Enumeration DateMay 6, 2024
NPPES CertifiedMay 6, 2024
✔ NPI 1578310652 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyContractor · Home ModificationsOther Service Providers
Taxonomy Code171WH0202X
License✔ Licensed in GA · 84-4617478
Definition
A contractor who makes modifications to homes to accommodate a health condition.
515 FAIRFIELD WAY, Evans, GA 30809
Open in Google Maps ↗

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mark Keen's NPI number?

The NPI number for Mark Keen is 1578310652. It was assigned to this individual provider in the NPPES registry on May 6, 2024.

Where is Mark Keen located?

Mark Keen practices at 515 Fairfield Way, Evans, GA 30809. The listed phone number is (786) 715-7845.

What is Mark Keen's specialty?

The primary specialty registered for this NPI is Contractor, specializing in Home Modifications, with taxonomy code 171WH0202X.

When was this NPI record last updated?

The NPPES record for Mark Keen was last updated on May 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.