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1205872330

NPI Code Detail

MEDICARE: ALTHEA KEENER MD

MEDICARE: ALTHEA KEENER MD

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
1	207Q00000X	Family Medicine Physician	MD051160L	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	31195	OTHER	PA	HEALTH PARTNERS
2	54819	OTHER	PA	HEALTHAMERICA
3	7091635	OTHER	PA	AETNA-NON HMO
4	P002759	OTHER	PA	GATEWAY HEALTHPLAN
5	1100849	OTHER	PA	KEYSTONE MERCY
6	50055971	OTHER	PA	CAPITAL BLUE CROSS
7	000000127166	OTHER	PA	UNISON HEALTHPLAN
8	000000149538	OTHER	PA	UNISON HEALTHPLAN
9	000816293	OTHER	PA	HIGHMARK BLUE SHIELD
10	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
11	1100849	OTHER	PA	AMERIHEALTH MERCY
12	50055971	OTHER	PA	KEYSTONE HEALTH PLAN CENTRAL
13	50069824	OTHER	PA	CAPITAL BLUE CROSS
14	0845709000	OTHER	PA	INDEPENDENCE BLUE CROSS

General Provider Information

NPI Number	:	1205872330
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALTHEA KEENER MD

Provider Business Mailing Address
First Line	:	304 N WATER ST
Second Line	:
City	:	LANCASTER
State	:	PA
Zip	:	17603-3374
Country	:	US
Telephone Number	:	717-299-6371
Fax Number	:	717-945-1587

Provider Business Practice Location Address
First Line	:	304 N WATER ST
Second Line	:
City	:	LANCASTER
State	:	PA
Zip	:	17603-3374
Country	:	US
Telephone Number	:	717-299-6372
Fax Number	:	717-945-1584

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/20/2006
Last Update Date	:	03/27/2018

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Directions to “ ALTHEA KEENER MD” Practice Location

Language	Start Address	Practice Location

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