Individual
MR. GERALD R KEENAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
10 WAYMAN LN, MOUNT DESERT ISLAND HOSPITAL, BAR HARBOR, ME 04609-1625
(207) 288-5081
(207) 288-7024
Mailing address
10 WAYMAN LN, MOUNT DESERT ISLAND HOSPITAL, BAR HARBOR, ME 04609-1625
(207) 288-5081
(207) 288-7024
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA-549
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA-549
LICENSE
ME
Enumeration date
01/26/2007
Last updated
03/06/2013
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