Keeney, Kristine M

Keeney, Kristine M is an individual health care provider with primary practice located at 4900 Broad Rd Suite 1D, Syracuse NY 13215-2265. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as her primary health care specialty. Keeney, Kristine M can be contacted via phone (315) 492-5660.

Contact Information

Primary practice address
4900 Broad Rd Suite 1D Syracuse NY 13215-2265
Phone: (315) 492-5660
Fax: (315) 492-3571
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 232864 New York

Profile Details

NPI number 1225098577
LBN Legal business name Keeney, Kristine M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 23rd, 2006
Last updated Dec 16th, 2014 - about 10 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 1225098577 NPPES
New York MEDICAID 02733466

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