Keenan, Angela D

Keenan, Angela D is an sole proprietor health care provider with primary practice located at 3401 Civic Center Blvd , Philadelphia PA 19104-4319. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Critical Care. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Critical Care is her primary health care specialty. Keenan, Angela D can be contacted via phone (800) 879-2467.

Contact Information

Primary practice address
3401 Civic Center Blvd Philadelphia PA 19104-4319
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Pediatrics 163WP0200X 9461254 Florida
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Critical Care 363LP0222X SP027242 Pennsylvania

Profile Details

NPI number 1174151583
LBN Legal business name Keenan, Angela D
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 31st, 2020
Last updated Mar 14th, 2023 - about last year

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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