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DR. KEVIN KEITH KEEN D.M.D.
NPI 1578614640
Dentist - Oral and Maxillofacial Surgery in Vicksburg, MS

Active since January 16, 2007
1205 MISSION PARK DR, VICKSBURG, MS 39180(601) 661-0034(601) 661-0367 Get Directions Write a Review

NPPES record last updated: February 26, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Kevin Keith Keen D.m.d. NPPES

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

DR. KEVIN KEITH KEEN D.M.D. (NPI 1578614640) is an individual oral and maxillofacial surgery provider in Vicksburg, Mississippi, licensed in Mississippi (1223S0112X) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1578614640
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. KEVIN KEITH KEENCredential: D.M.D.
Location Address1205 MISSION PARK DRVicksburg, MS 39180-3747
Mailing Address1205 Mission Park DrVicksburg, MS 39180-3747 · (601) 661-0034 · Fax (601) 661-0367
Phone(601) 661-0034
Fax(601) 661-0367
Sole ProprietorYes
Enumeration DateJanuary 16, 2007
Last NPPES UpdateFebruary 26, 2008
✔ NPI 1578614640 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in MS · 1223S0112X
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
1205 MISSION PARK DR, Vicksburg, MS 39180
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Other Identifiers 1

Medicare UPINU80152MS

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.Insurance ›

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SOUTHERN ORAL AND MAXILLOFACIAL SURGERY CENTER, INC
Dentist (Oral and Maxillofacial Surgery)
1205 MISSION PARK DR
VICKSBURG, MS 39180
Warren County (601) 661-0034

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 Kevin Keen's NPI number?

The NPI number for Kevin Keen is 1578614640. It was assigned to this individual provider in the NPPES registry on January 16, 2007.

Where is Kevin Keen located?

Kevin Keen practices at 1205 Mission Park Dr, Vicksburg, MS 39180. The listed phone number is (601) 661-0034.

What is Kevin Keen's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

What insurance does Kevin Keen accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee and 10 other insurers list Kevin Keen as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kevin Keen was last updated on February 26, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.