Keane, Andrea Renee

Keane, Andrea Renee is an individual health care provider with primary practice located at 1725 E Tipton St Ste 200 , Seymour IN 47274-3561. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Keane, Andrea Renee can be contacted via phone (812) 519-2963.

Contact Information

Primary practice address
1725 E Tipton St Ste 200 Seymour IN 47274-3561
Phone: (812) 519-2963
Fax: (812) 519-3515
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 71004638A Indiana

Profile Details

NPI number 1720414915
LBN Legal business name Keane, Andrea Renee
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 19th, 2013
Last updated Jun 18th, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720414915 NPPES
Indiana Other 000000855316 ANTHEM
Indiana MEDICAID 201190520 ANTHEM

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