Individual
FREDERICK C. KEENAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5844 NW BARRY RD, SUITE 110, KANSAS CITY, MO 64154-1465
(816) 880-6100
(816) 746-1226
Mailing address
5844 NW BARRY RD STE 110, KANSAS CITY, MO 64154-1483
(816) 880-6100
(816) 746-1226
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
110912
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
203980404
—
MO
Enumeration date
07/19/2006
Last updated
06/14/2019
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