Individual
SHEA KEENAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6500 EXCELSIOR BLVD, ST LOUIS PARK, MN 55426-4702
(952) 993-6016
Mailing address
8904 STANLEN RD, ST LOUIS PARK, MN 55426-2348
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
2473450
MN
Other
Enumeration date
06/15/2026
Last updated
06/15/2026
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