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General NPI Number Information
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NPI Number | 1811533805
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Entity Type | Organization
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Legal Business Name | PATRICK KEEHAN DO PA
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Dates
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Enumeration Date | 11/25/2019
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Last Update Date | 03/26/2025
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Provider Practice Location Address
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Address Line | 4625 SAINT AMAND CIR
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City | FORT WORTH
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State | TX
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Zip | 76126-1908
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Country | US
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Telephone | 817-769-3603
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Fax | 817-348-0113
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Provider Business Mailing Address
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Address Line | 6387 CAMP BOWIE BLVD STE B #340
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City | FORT WORTH
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State | TX
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Zip | 76116-5486
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Country | US
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Telephone | 817-769-3603
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Fax | 817-348-0113
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Authorized Official
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Title or Position | DERMATOLOGIST
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Name | DR. PATRICK KEEHAN
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Credential | DO
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Telephone | 415-802-1310
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number |
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License Number State |
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