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Tony Keene began their work experience as a Branch Manager/Small Business Loan Officer at US Bank in 2013. Tony then moved on to Northeast Regional Medical Center in 2014, where they served as an Assistant CEO, responsible for various hospital services and enterprise process improvement. In 2019, Keene became the Chief Executive Officer at Sullivan County Memorial Hospital until 2021, when they took on the same role at Northeast Regional Medical Center. Currently, Keene is working as a Healthcare Professional at Ferrell Hospital and is also seeking new opportunities in the healthcare field.

Tony Keene attended Jersey Community High School, although the specific years are unknown. Tony later pursued a Master of Business Administration (MBA) degree in Business, Management, and Marketing at Fontbonne University, completing it between 2001 and 2003.