Individual
MR. KEENAN ROSADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
171 ASHLEY AVE, CHARLESTON, SC 29425-0100
(843) 792-1414
Mailing address
171 ASHLEY AVE, CHARLESTON, SC 29425-0100
(843) 792-1414
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4662
SC
Other
Enumeration date
10/25/2022
Last updated
10/03/2025
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