Keenan, Brian William
Keenan, Brian William is an individual health care provider with primary practice located at 1701 Lacey St Emergency Department, Cape Girardeau MO 63701-5230. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Keenan, Brian William can be contacted via phone (573) 331-6549.Contact Information
Primary practice address
1701 Lacey St Emergency Department
Cape Girardeau MO 63701-5230
Phone: (573) 331-6549
Fax: (573) 651-5848
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 2007024787 | Missouri |
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 294252 | Louisiana |
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 2013-01907 | North Carolina |
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 2014037017 | Missouri |
Profile Details
| NPI number | 1063699163 |
|---|---|
| LBN Legal business name | Keenan, Brian William |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 30th, 2008 |
| Last updated | Oct 31st, 2014 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1063699163 | NPPES |
| Louisiana | MEDICAID | 2106856 |
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