| Doctor Name: | MS. JANICE LUANNE KEENAN |
| NPI Number: | 1013305267 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PA-C |
| License Number: | PA1581 |
| Business Practice Address: | 2380 W Horizon Ridge Pkwy Suite 110 Henderson, NV - 890525078 |
| Business Phone Number: | 7028234255 |
| Business Fax Number: | |
| Mailing Address: | 5806 Wispy Winds St, LAS VEGAS |
| State: | NV |
| Postal Code: | 891484522 |
| Phone Number: | 7025613796 |
| Fax Number: | |
| NPI Enumeration Date: | 12/22/2014 |
| NPI Last Update Date: | 12/22/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | PA1581 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NV |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |