Individual
DR. JOHN A KEENAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
23250 CHAGRIN BLVD STE 425, BEACHWOOD, OH 44122-5445
(216) 464-4243
Mailing address
23250 CHAGRIN BLVD STE 425, BEACHWOOD, OH 44122-5445
(216) 464-4243
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
P.08056
OH
103T00000X
Psychologist
PSY 853
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A0248896
HMSA
HI
01
—
72440163
KAISER
HI
Enumeration date
05/05/2006
Last updated
10/24/2023
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