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Individual
KIMBERLY SILVERNAIL KEANE
Active
Individual
KIMBERLY SILVERNAIL KEANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
018391
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00018391
—
NY
01
—
000407413001
BSNENY
—
01
—
040426006275
FIDELIS
—
01
—
1044472
CDPHP
—
01
—
249402
MVP
—
01
—
7203472
AETNA
—
01
—
82313
GHIHMO
—
Enumeration date
11/01/2006
Last updated
09/08/2016
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