Keenan, Kevin

Keenan, Kevin is an individual health care provider with primary practice located at 1200 Johnnie Dodds Blvd , Mount Pleasant SC 29464-3231. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Keenan, Kevin can be contacted via phone (843) 881-4325.

Contact Information

Primary practice address
1200 Johnnie Dodds Blvd Mount Pleasant SC 29464-3231
Phone: (843) 881-4325
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 12020 South Carolina

Profile Details

NPI number 1891874327
LBN Legal business name Keenan, Kevin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 3rd, 2006
Last updated Jun 30th, 2008 - about 18 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 1891874327 NPPES
South Carolina MEDICAID 120201

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