Individual
PAUL JOSEPH KEANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
267 W RIDGE DR, BRYSON CITY, NC 28713-7602
(828) 488-8200
(828) 488-8221
Mailing address
PO BOX 1730, BRYSON CITY, NC 28713-1730
(828) 488-8200
(828) 488-8221
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
57
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0802Q
BCBS
—
01
—
08153
BCBS
—
01
—
225158
PARTNERS
—
05
—
890802Q
—
NC
05
—
8908153
—
NC
01
—
P00102841
MEDICARE RR
—
Enumeration date
09/12/2006
Last updated
05/23/2008
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