Individual
SEAN KEENAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
400 W 16TH ST, PUEBLO, CO 81003-2745
(719) 584-4000
Mailing address
70 LAMBRIG WAY, COLORADO SPRINGS, CO 80906-7962
(719) 527-4959
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
46031
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
141F4
BCBS PROVIDER NUMBER
NC
05
—
5902746
—
NC
Enumeration date
09/01/2006
Last updated
01/18/2008
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