Active NPIIndividual provider

Mr. Gerald R Keenan, PA-C

Physician Assistant, Medical in Bar Harbor, Maine

NPI Number1336295971
Practice location
10 Wayman Ln, Mount Desert Island Hospital, Bar Harbor, ME 04609-1625
Fax
207-288-7024
Last updated
March 6, 2013

Gerald R Keenan is a Physician Assistant, Medical based in Bar Harbor, ME. Gerald R Keenan practices in Bar Harbor, ME and has the professional credentials of PA-C. The NPI Number for Gerald R Keenan is 1336295971 and holds a License No. PA-549 (ME). The current practice location address for Gerald R Keenan is 10 Wayman Ln, Mount Desert Island Hospital, Bar Harbor, ME 04609-1625 and can be reached out via phone at 207-288-5081 and via fax at 207-288-7024.

Provider Profile Details

NPI Number
1336295971
Provider Name
Gerald R Keenan
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
10 Wayman Ln, Mount Desert Island Hospital, Bar Harbor, ME 04609-1625
Phone Number
207-288-5081
Fax Number
207-288-7024
Primary Taxonomy
Physician Assistant, Medical · 363AM0700X
Sole Proprietor
No
Provider Enumeration Date
January 26, 2007
Last Update Date
March 6, 2013
NPI Status
Active

Provider Business Practice Location Address Details

Address
10 Wayman Ln
Mount Desert Island Hospital
Bar Harbor, ME 04609-1625
State
Maine
Zip
04609-1625
Phone Number
207-288-5081
Fax Number
207-288-7024
Bar Harbor, ME 04609Get directions →

Provider Business Mailing Address Details

Address
10 Wayman Ln
Mount Desert Island Hospital
Bar Harbor, ME 04609-1625
City
Bar Harbor
State
ME
Zip
04609-1625
Phone Number
207-288-5081
Fax Number
207-288-7024

License Information

License Number
PA-549
License State
ME
Taxonomy
Physician Assistant, Medical · 363AM0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mr. Gerald R Keenan, PA-C?

The NPI number of Mr. Gerald R Keenan, PA-C is 1336295971. It was assigned on January 26, 2007 and is currently active in the NPPES registry.

What is the specialty of Mr. Gerald R Keenan, PA-C?

Mr. Gerald R Keenan, PA-C is registered under the primary taxonomy Physician Assistant, Medical (code 363AM0700X), licensed in ME under license number PA-549.

Where does Mr. Gerald R Keenan, PA-C practice?

The practice location is 10 Wayman Ln, Mount Desert Island Hospital, Bar Harbor, ME 04609-1625. The office can be reached at 207-288-5081 (phone) or 207-288-7024 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1336295971 directly on the NPPES registry website.

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