Individual
GREGORY MARTIN KEANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1309 HARLAN DR, SUITE 206, BELLEVUE, NE 68005-6604
(402) 291-6789
(402) 291-8806
Mailing address
PO BOX 641130, OMAHA, NE 68164-7130
(402) 717-4390
(402) 717-4280
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
486
NE
Other
Enumeration date
11/06/2006
Last updated
07/08/2007
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