Individual
KEVIN JAMES KEENAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4860 Y ST STE 3700, SACRAMENTO, CA 95817-2307
(916) 734-6285
Mailing address
505 PARNASSUS AVE # 114, SAN FRANCISCO, CA 94143-2204
(415) 476-3891
(415) 476-3428
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
A136005
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/19/2013
Last updated
07/01/2019
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