NPI 1033311758 BRYAN KEENAN MD SAN DIEGO CA. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Bryan Keenan - NPI: 1033311758

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Doctor Name: BRYAN KEENAN
NPI Number: 1033311758
Entity Type Code: Individual (1)
Gender: M
Credentials: MD
License Number: 0101237249
Business Practice Address: Mag 39
Area 22 Medical, Bldg 22190 Camp Pendleton, CA - 92055
Business Phone Number: 7607252969
Business Fax Number:
Mailing Address: 12562 Caminito Mira Del Mar,
SAN DIEGO
State: CA
Postal Code: 921302387
Phone Number:
Fax Number:
NPI Enumeration Date: 06/04/2007
NPI Last Update Date: 07/08/2007
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 208D00000X
License Number: 0101237249
Healthcare Provider Taxonomy:
(Secondary)
Y
State: VA
Taxonomy Type: Allopathic & Osteopathic Physicians
Taxonomy Classification: General Practice
Taxonomy Specialization:
Taxonomy Definition:


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