Individual
DR. DANA R KEENER
Active
Individual
DR. DANA R KEENER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
PS005285-L
PA
103TC0700X
Clinical Psychologist
Primary
PS005285-L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
007153843 0002
MEDICAL ASSISTANCE PROVID
PA
01
—
KE650482
BLUE CROSS - BLUE SHIELD
PA
Enumeration date
09/14/2005
Last updated
10/10/2007
Update your record
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