Individual
DR. ANDREW KEENAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
901 HARRY S TRUMAN DR N, LARGO, MD 20774-5477
(301) 677-2149
Mailing address
2831 MCDUFF DR, CHESAPEAKE BEACH, MD 20732-3202
(410) 703-3511
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
D0026012
MD
207UN0902X
Nuclear Imaging & Therapy Physician
Primary
D0026012
MD
207UN0903X
In Vivo & In Vitro Nuclear Medicine Physician
D0026012
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
331441300
—
MD
Enumeration date
05/17/2006
Last updated
06/23/2022
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