| Doctor Name: | MARTHA JANE KEENER |
| NPI Number: | 1023088150 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CRNP |
| License Number: | R162682 |
| Business Practice Address: | 1221 E Churchville Rd Cvs/minuteclinic Bel Air, MD - 21015 |
| Business Phone Number: | 4108280708 |
| Business Fax Number: | |
| Mailing Address: | 43 Boxthorn Rd, ABINGDON |
| State: | MD |
| Postal Code: | 210091716 |
| Phone Number: | 4105698075 |
| Fax Number: | |
| NPI Enumeration Date: | 01/23/2006 |
| NPI Last Update Date: | 01/13/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | R162682 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MD |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |