Individual
MATTHEW KEENAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
4221 HAMPTON DR, BENTON, AR 72019-7616
(501) 802-4604
Mailing address
4221 HAMPTON DR, BENTON, AR 72019-7616
(501) 802-4604
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
122990
AR
Other
Enumeration date
06/06/2022
Last updated
11/13/2025
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