Individual
DR. BRIAN WILLIAM KEENAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1701 LACEY ST, EMERGENCY DEPARTMENT, CAPE GIRARDEAU, MO 63701-5230
(573) 331-6549
(573) 651-5848
Mailing address
1701 LACEY ST, EMERGENCY DEPARTMENT, CAPE GIRARDEAU, MO 63701-5230
(573) 331-6549
(573) 651-5848
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
2013-01907
NC
207P00000X
Emergency Medicine Physician
2014037017
MO
207P00000X
Emergency Medicine Physician
294252
LA
208000000X
Pediatrics Physician
Primary
2007024787
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2106856
—
LA
Enumeration date
01/30/2008
Last updated
10/31/2014
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