Individual
DR. THOMAS J KEENAN IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1627 MIDLAND TRL, SHELBYVILLE, KY 40065-1638
(502) 633-2985
(502) 647-0327
Mailing address
1627 MIDLAND TRL, SHELBYVILLE, KY 40065-1638
(502) 633-2985
(502) 647-0327
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1008DT
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000350873
ANTHEM BCBS
KY
01
—
000000350897
ANTHEM BCBS
KY
01
—
1008DT
OD LICENSE NUMBER
KY
05
—
77010080
—
KY
01
—
P00185446
RR MEDICARE
KY
Enumeration date
08/16/2005
Last updated
02/19/2014
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us