Individual
MRS. ANDREA RENEE KEANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1725 E TIPTON ST STE 200, SEYMOUR, IN 47274-3561
(812) 519-2963
(812) 519-3515
Mailing address
1725 E TIPTON ST STE 200, SEYMOUR, IN 47274-3561
(812) 519-2963
(812) 519-3515
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71004638A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000855316
ANTHEM
IN
05
—
201190520
—
IN
Enumeration date
09/19/2013
Last updated
06/18/2015
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