Individual
VIRGINIA A KEANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1708 W ROGERS AVE, BALTIMORE, MD 21209-4545
(410) 578-8600
(410) 578-0566
Mailing address
1708 W ROGERS AVE, BALTIMORE, MD 21209-4545
(410) 578-8600
(410) 578-0566
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
D32410
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
468531800
—
MD
Enumeration date
06/23/2006
Last updated
07/29/2022
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