Individual
MR. CASEY KEENAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
267 GRANT ST, BRIDGEPORT, CT 06610-2805
(203) 384-3235
Mailing address
164 HOME ACRES AVE, C/O SUMMIT REHAB CONSULTANTS PLLC, MILFORD, CT 06460-3518
(203) 296-2016
(203) 923-1010
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
2594
CT
Other
Enumeration date
07/14/2011
Last updated
03/11/2020
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