Individual
BRUCE J KEENAN SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1014 AMHERST ST, STE 204, WINCHESTER, VA 22601-3308
(540) 662-0522
(540) 662-6368
Mailing address
1014 AMHERST ST, STE 204, WINCHESTER, VA 22601-3308
(540) 662-0522
(540) 662-6368
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618000730
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009234527
—
VA
Enumeration date
12/20/2005
Last updated
07/08/2008
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