Individual
DR. MICHAEL EUGENE KEENAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1776 BOSTON TPKE, COVENTRY, CT 06238-1160
(860) 742-0807
(860) 742-8702
Mailing address
1776 BOSTON TPKE, COVENTRY, CT 06238-1160
(860) 742-0807
(860) 742-8702
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
026639
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001266394
—
CT
Enumeration date
05/05/2006
Last updated
08/16/2011
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