Keenan, Jeffrey A

Keenan, Jeffrey A is an sole proprietor health care provider with primary practice located at 11126 Kingston Pike , Knoxville TN 37934. He recently has only one registered license in Allopathic & Osteopathic Physicians / Reproductive Endocrinology, which is considered as his primary health care specialty. Keenan, Jeffrey A can be contacted via phone (865) 777-0088.

Contact Information

Primary practice address
11126 Kingston Pike Knoxville TN 37934
Fax: (865) 777-2015
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Reproductive Endocrinology 207VE0102X MD0000018511 Tennessee

Profile Details

NPI number 1043395122
LBN Legal business name Keenan, Jeffrey A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 26th, 2006
Last updated Mar 29th, 2010 - about 14 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 1043395122 NPPES
Tennessee MEDICAID 3058073

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