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General NPI Number Information
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NPI Number | 1750252516
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Entity Type | Organization
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Legal Business Name | KEENAN PSYCHIATRY PLLC
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Dates
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Enumeration Date | 09/15/2025
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Last Update Date | 09/15/2025
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Provider Practice Location Address
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Address Line | 1803 ORCHARD ST
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City | BURLINGTON
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State | IA
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Zip | 52601-6136
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Country | US
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Telephone | 650-400-4031
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Fax |
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Provider Business Mailing Address
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Address Line | 1803 ORCHARD ST
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City | BURLINGTON
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State | IA
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Zip | 52601-6136
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Country | US
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Telephone | 650-400-4031
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Fax |
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Authorized Official
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Title or Position | PSYCHIATRIST
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Name | CARLY KEENAN
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Credential | DO
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Telephone | 650-400-4031
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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