Individual
THOMAS P KEENAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
190 CAMPUS BLVD STE 210, WINCHESTER, VA 22601-2872
(540) 536-5820
(540) 536-5821
Mailing address
220 CAMPUS BLVD STE 100, WINCHESTER, VA 22601-2888
(540) 536-5100
(540) 536-0235
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
0101025849
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
005808
BLUE SHIELD
—
05
—
006307761
—
VA
Enumeration date
07/11/2006
Last updated
07/09/2021
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