Keenan, Carol A

Keenan, Carol A is an individual health care provider with primary practice located at 2105 Idlewild Blvd , Fredericksburg VA 22401-2698. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Keenan, Carol A can be contacted via phone (757) 784-8343.

Contact Information

Primary practice address
2105 Idlewild Blvd Fredericksburg VA 22401-2698
Phone: (757) 784-8343
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 2305003508 Virginia

Profile Details

NPI number 1073565453
LBN Legal business name Keenan, Carol A
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2006
Last updated Sep 10th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073565453 NPPES
Virginia Other 191907 ANTHEM BCBS

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