Provider Profile

Keanu Boullon

Unclaimed Profile

About Keanu Boullon

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Specialty

Credentials & Licensing

FL licenseBACB1331319
NPI1144105982
NPI issued08/11/2025

License numbers are what the provider reported to NPPES when the NPI was issued or updated. NPPES does not verify licensure; confirm current standing with the state licensing board.

Common questions

What is Keanu Boullon's address?

Keanu Boullon is listed at 12505 Sw 28Th St, Miami, FL 33175. Addresses come from the NPI registry and can lag a move, so confirm before travelling.

NPI registry

How can I make an appointment with Keanu Boullon?

The number on file is (786) 770-5813. Guide.md cannot book appointments or pass on messages — please call the office directly.

NPI registry

What is Keanu Boullon's NPI number?

Keanu Boullon's National Provider Identifier is 1144105982. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.

NPI registry

How long has Keanu Boullon been practicing?

Keanu Boullon has 1+ years experience. Registered with an NPI since 2025. National Provider Identifiers only began in 2005, so a provider who qualified earlier may have practiced for longer than this.

NPI registry

Has Keanu Boullon confirmed this information?

Not yet. This profile is built from public federal data and has not been confirmed by Keanu Boullon. If this is you, claiming it is free.

Guide.md

Provider data sourced from the NPPES NPI Registry and CMS public datasets. Information is provided for reference and is not medical advice.