Keenan, Gerald R

Keenan, Gerald R is an individual health care provider with primary practice located at 10 Wayman Ln Mount Desert Island Hospital, Bar Harbor ME 04609-1625. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Keenan, Gerald R can be contacted via phone (207) 288-5081.

Contact Information

Primary practice address
10 Wayman Ln Mount Desert Island Hospital Bar Harbor ME 04609-1625
Phone: (207) 288-5081
Fax: (207) 288-7024
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA-549 Maine

Profile Details

NPI number 1336295971
LBN Legal business name Keenan, Gerald R
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 26th, 2007
Last updated Mar 6th, 2013 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336295971 NPPES
Maine Other PA-549 LICENSE

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