Individual
ROBERT JAMES KEENAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
12902 USF MAGNOLIA DR, MOFFITT CANCER CENTER, TAMPA, FL 33612-9416
(813) 745-6080
(813) 449-8788
Mailing address
12902 USF MAGNOLIA DR, MOFFITT CANCER CENTER, TAMPA, FL 33612-9416
(813) 745-6080
(813) 449-8788
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
MD044187E
PA
208600000X
Surgery Physician
ME 123918
FL
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
MD044187E
PA
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
ME 123918
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0012900680007
—
PA
05
—
0962472
—
OH
05
—
125606000
—
WV
Enumeration date
08/02/2005
Last updated
04/24/2015
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