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NPI Code Detail

MEDICARE: JEFFREY A KEENAN MD

MEDICARE: JEFFREY A KEENAN 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
1207VE0102XReproductive Endocrinology Physician

General Provider Information

NPI Number : 1871855205
Entity Type Code : Organization
Provider Name (Legal Business Name) : JEFFREY A KEENAN MD
Provider Business Mailing Address
First Line : 11126 KINGSTON PIKE
Second Line :
City : KNOXVILLE
State : TN
Zip : 37934-2806
Country : US
Telephone Number : 865-777-0088
Fax Number : 865-777-2015
Provider Business Practice Location Address
First Line : 11126 KINGSTON PIKE
Second Line :
City : KNOXVILLE
State : TN
Zip : 37934-2806
Country : US
Telephone Number : 865-777-0088
Fax Number : 865-777-2015
Authorized Official
Title or Position : OWNER
Name : JEFFREY A KEENAN
Credential : MD
Telephone Number : 865-777-0088
Provider Enumeration Date : 06/12/2012
Last Update Date : 06/12/2012

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Directions to “JEFFREY A KEENAN MD ” Practice Location

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