MEDICARE: KAYLEE KEENAN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1013859180
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KAYLEE KEENAN

Provider Business Mailing Address
First Line	:	4042 WEBBER ST
Second Line	:
City	:	SAGINAW
State	:	MI
Zip	:	48601-4145
Country	:	US
Telephone Number	:	231-394-0211
Fax Number	:

Provider Business Practice Location Address
First Line	:	4042 WEBBER ST
Second Line	:
City	:	SAGINAW
State	:	MI
Zip	:	48601-4145
Country	:	US
Telephone Number	:	231-394-0211
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/08/2026
Last Update Date	:	04/27/2026

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Directions to “ KAYLEE KEENAN ” Practice Location

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