Healthcare Provider Details

I. General information

NPI: 1093482820
Provider Name (Legal Business Name): SARAH K KEENAN DNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/28/2021
Last Update Date: 10/01/2026
Certification Date: 10/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4009 MAYHEW INN RD
OAKLAND MD
21550-7236
US

IV. Provider business mailing address

4009 MAYHEW INN RD
OAKLAND MD
21550-7236
US

V. Phone/Fax

Practice location:
  • Phone: 410-648-4451
  • Fax: 410-680-3200
Mailing address:
  • Phone: 410-648-4451
  • Fax: 410-680-3200

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberR226299
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License NumberR226299
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: