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Individual
PETER KEENAN
Active
Individual
PETER KEENAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
0001307449
VA
163WA2000X
Administrator Registered Nurse
0001307449
VA
Other
Enumeration date
12/02/2021
Last updated
12/02/2021
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