Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jack Keehn, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1659900512

Jack Keehn, MD is an Emergency Medicine in Orange Park, Florida. Graduated from Univ of Central Florida, College of Medicine in 2020, 6 years ago. Practices with Cep America LLC, a 985-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
6
Trained at
Univ of Central Florida, College of Medicine
Licensed in
FL
In the registry since
2020
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2001 Kingsley Ave
Orange Park, FL 32073-5156
Phone: (904) 639-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence ME162193 (FL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1659900512
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 3, 2020
Last updated in NPPESAugust 11, 2023
Certification dateAugust 11, 2023
Mailing address5255 Riverton Rd, Jacksonville, FL 32277-1351

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Medical schoolUNIV OF CENTRAL FLORIDA, COLLEGE OF MEDICINE
Graduated 2020 (6 years in practice)
Group practice Cep America Llc — 985 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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