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
Phone: (865) 777-0088
Fax: (865) 777-2015
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1043395122 | NPPES |
Tennessee | MEDICAID | 3058073 |
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