Individual
CRAIG MICHAEL KEANNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., F.A.A.P.
Contact information
Practice address
1062 BARNES RD, WALLINGFORD, CT 06492-6012
(203) 294-6328
Mailing address
1062 BARNES RD, WALLINGFORD, CT 06492-6012
(203) 294-6328
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
034961
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001349613
—
CT
Enumeration date
06/10/2006
Last updated
02/16/2016
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