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Organization

YORK PRIMARY CARE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOEL WILLIAM KEENAN M.D. (OWNER/PHYSICIAN)
(207) 361-4902
Entity
Organization

Contact information

Practice address
1 BRICKYARD LN, SUITE CC, YORK, ME 03909-1604
(207) 361-4902
(207) 363-2502
Mailing address
1 BRICKYARD LN, SUITE CC, YORK, ME 03909-1604
(207) 361-4902
(207) 363-2505

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
207RA0000X
Adolescent Medicine (Internal Medicine) Physician

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
431948300
ME
Enumeration date
11/27/2006
Last updated
06/15/2021
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