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Individual

DR. PATRICK KEENAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
147 ALLEN ST, RUTLAND, VT 05701-4555
(802) 775-1901
(802) 775-1974
Mailing address
147 ALLEN ST, RUTLAND, VT 05701-4555
(802) 775-1901
(802) 775-1974

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
042-0005344
VT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0009658
VT
Enumeration date
02/03/2006
Last updated
07/18/2013
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