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Individual

DR. STEPHEN JOSEPH KEENAN

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
700 RESERVOIR AVE, CRANSTON, RI 02910-3237
(401) 942-6020
(401) 942-6178
Mailing address
700 RESERVOIR AVE, CRANSTON, RI 02910-3237
(401) 942-6020
(401) 942-6178

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
177
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
201626
CHIP
RI
01
2468466
AETNA
RI
01
44-00921
UNITED HEALTCARE
RI
01
9110-1
BLUE CROSS
RI
Enumeration date
09/01/2005
Last updated
07/08/2007
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