Individual
DR. EAMONN M KEANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
275 W 12TH ST, PERU, IN 46970-1638
(765) 472-8000
Mailing address
7950 W JEFFERSON BLVD, SUITE 2121, FORT WAYNE, IN 46804-4140
(260) 435-7937
(260) 435-7933
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
01069866A
IN
207Q00000X
Family Medicine Physician
Primary
01069866A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201020830
—
IN
Enumeration date
05/14/2008
Last updated
08/29/2025
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