Healthcare Provider Details

I. General information

NPI: 1346702297
Provider Name (Legal Business Name): RYAN RILEY KEANE
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/01/2019
Last Update Date: 06/23/2026
Certification Date: 06/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2400 PATTERSON ST STE 502
NASHVILLE TN
37203-6511
US

IV. Provider business mailing address

2400 PATTERSON ST STE 502
NASHVILLE TN
37203-6511
US

V. Phone/Fax

Practice location:
  • Phone: 615-515-1900
  • Fax:
Mailing address:
  • Phone: 615-515-1900
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License Number76696
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: