Individual
JULIE KEENAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8 GRANDVIEW ST, COVENTRY, RI 02816-4119
(401) 662-9308
Mailing address
8 GRANDVIEW ST, COVENTRY, RI 02816-4119
(401) 662-9308
Taxonomy
Speciality
Code
Description
License number
State
246ZN0300X
Nephrology Specialist/Technologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
610455
BLUE CROSS BLUE SHIELD
—
Enumeration date
12/20/2016
Last updated
12/20/2016
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