Individual
JAKOB KEENEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
735 NORMAN DR STE 3, LEBANON, PA 17042-7559
(717) 270-7908
(717) 272-1734
Mailing address
3421 CONCORD RD, YORK, PA 17402-9001
(717) 270-7908
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
MA061776
PA
363A00000X
Physician Assistant
Primary
OA005637
PA
Other
Enumeration date
03/15/2021
Last updated
05/25/2021
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