Healthcare Provider Details

I. General information

NPI: 1942198304
Provider Name (Legal Business Name): HUNTER KEENAN
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/25/2025
Last Update Date: 07/22/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 E BROAD ST STE 510
BETHLEHEM PA
18018-5964
US

IV. Provider business mailing address

1 E BROAD ST STE 510
BETHLEHEM PA
18018-5964
US

V. Phone/Fax

Practice location:
  • Phone: 610-865-4300
  • Fax: 610-865-4399
Mailing address:
  • Phone: 610-865-4300
  • Fax: 610-865-4399

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberAPC002551
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: