Individual
DR. DANIEL G KEAN II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
315 E BROADWAY, SUITE 185, LOUISVILLE, KY 40202-3700
(502) 629-5455
(502) 629-4151
Mailing address
PO BOX 766351, CHICAGO, IL 60677-6351
(502) 588-9490
(502) 272-5116
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
00025358
AL
208100000X
Physical Medicine & Rehabilitation Physician
48767
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100405490
—
KY
Enumeration date
08/09/2006
Last updated
07/21/2016
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