Individual
MR. DAVID JAMES KEENAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
H.I.S.
Contact information
Practice address
25891 EDISON RD, SOUTH BEND, IN 46628-4841
(574) 299-6776
Mailing address
25891 EDISON RD, SOUTH BEND, IN 46628-4841
(574) 299-6776
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
17001423A
IN
237700000X
Hearing Instrument Specialist
3501007498
MI
Other
Enumeration date
10/22/2014
Last updated
10/22/2014
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