Individual
CHARLES H KEENEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
37 W GARDEN ST, SUITE 102, AUBURN, NY 13021-2662
(315) 282-0525
(315) 282-0526
Mailing address
1001 W FAYETTE ST, STE 400, SYRACUSE, NY 13204-2859
(315) 472-1488
(315) 472-8060
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
216355
NY
Other
Enumeration date
01/10/2006
Last updated
05/12/2008
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