Individual
MR. KEVIN WILLIAM KEANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP
Contact information
Practice address
400 W LANCASTER AVE, DEVON, PA 19333-1531
(610) 999-6414
Mailing address
1221 PLANTATION DR, WEST DEPTFORD, NJ 08086-2315
(856) 628-7468
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
SP027911
PA
Other
Enumeration date
08/01/2023
Last updated
04/29/2025
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