Keenan, Grace L.

Keenan, Grace L. is an individual health care provider with primary practice located at 21785 Filigree Ct Suite 100, Ashburn VA 20147-6213. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Keenan, Grace L. can be contacted via phone (703) 554-1100.

Contact Information

Primary practice address
21785 Filigree Ct Suite 100 Ashburn VA 20147-6213
Fax: (703) 554-1110
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 0101041478 Virginia

Profile Details

NPI number 1770518821
LBN Legal business name Keenan, Grace L.
Credentials M.D., CEO
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2006
Last updated Feb 23rd, 2016 - about 10 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 1770518821 NPPES
Virginia MEDICAID 1770518821

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