| Doctor Name: | ALICE MARIE KEENAN |
| NPI Number: | 1073730495 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APN |
| License Number: | 26NN06694700 |
| Business Practice Address: | 5045 Route 130 Suite F Delran, NJ - 080759707 |
| Business Phone Number: | 8564611717 |
| Business Fax Number: | 8564611143 |
| Mailing Address: | 1020 Laurel Oak Rd, Suite 201 VOORHEES |
| State: | NJ |
| Postal Code: | 080433518 |
| Phone Number: | 8567823300 |
| Fax Number: | 8565048029 |
| NPI Enumeration Date: | 04/19/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0200X |
| License Number: | 26NN06694700 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |