| Doctor Name: | MR. GERALD R KEENAN |
| NPI Number: | 1336295971 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PA-C |
| License Number: | PA-549 |
| Business Practice Address: | 10 Wayman Ln Mount Desert Island Hospital Bar Harbor, ME - 046091625 |
| Business Phone Number: | 2072885081 |
| Business Fax Number: | 2072887024 |
| Mailing Address: | 10 Wayman Ln, Mount Desert Island Hospital BAR HARBOR |
| State: | ME |
| Postal Code: | 046091625 |
| Phone Number: | 2072885081 |
| Fax Number: | 2072887024 |
| NPI Enumeration Date: | 01/26/2007 |
| NPI Last Update Date: | 03/06/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | PA-549 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | ME |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |