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NPI Code Detail

MEDICARE: JOANNE PATRICIA KEENAN D.O.

MEDICARE:   JOANNE PATRICIA KEENAN  D.O.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician20A 8728CA

General Provider Information

NPI Number : 1043281074
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOANNE PATRICIA KEENAN D.O.
Provider Business Mailing Address
First Line : 6719 ALVARADO RD
Second Line : SUITE 108
City : SAN DIEGO
State : CA
Zip : 92120-5254
Country : US
Telephone Number : 619-286-8804
Fax Number : 619-286-2344
Provider Business Practice Location Address
First Line : 6719 ALVARADO RD
Second Line : SUITE 108
City : SAN DIEGO
State : CA
Zip : 92120-5254
Country : US
Telephone Number : 619-286-8804
Fax Number : 619-286-2344
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/28/2006
Last Update Date : 03/05/2014

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Directions to “ JOANNE PATRICIA KEENAN D.O.” Practice Location

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