Individual
DR. KRISTINE M KEENEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.,
Contact information
Practice address
4900 BROAD RD, SUITE 1D, SYRACUSE, NY 13215-2265
(315) 492-5660
(315) 492-3571
Mailing address
4900 BROAD RD, SUITE 1D, SYRACUSE, NY 13215-2265
(315) 492-5660
(315) 492-3571
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
232864
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02733466
—
NY
Enumeration date
03/23/2006
Last updated
12/16/2014
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