Individual
MR. MICHAEL ROBERT KEANE I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.AC., B.PH
Contact information
Practice address
8151 RIDGE AVE, PHILADELPHIA, PA 19128-2902
(215) 487-2500
Mailing address
316 STANCHION DR, STROUDSBURG, PA 18360-8318
(570) 234-6216
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AK001190
PA
Other
Enumeration date
01/03/2017
Last updated
01/03/2017
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