person
Mary Kathryn Keenan, PA-C
Medical Physician Assistant in Evansdale, Iowa
NPI 1356613012

Mary Kathryn Keenan is a Medical Physician Assistant based in Evansdale, IA and is specialized in Medical. Mary Kathryn Keenan practices in Evansdale, IA and has the professional credentials of PA-C. The NPI Number for Mary Kathryn Keenan is 1356613012 and holds a License No. 002249 (Iowa).

The current practice location address for Mary Kathryn Keenan is 3701 Lafayette Rd, Evansdale, IA and can be reached out via phone at 319-274-7060.

Location: 3701 Lafayette Rd, Evansdale, IA, 50707-1129
person
Provider Profile Details
NPI Number
1356613012
Provider Name
Mary Kathryn Keenan
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
3701 Lafayette Rd, Evansdale, IA, 50707-1129
Phone Number
319-274-7060
Fax Number
Provider Enumeration Date
01/27/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
P01146291 GRP CC6519 01 IA RR MEDICARE
1356613012 05 IA
institution
Provider Business Practice Location Address Details
Address
3701 Lafayette Rd
City
State
Zip
50707-1129
Phone Number
319-274-7060
Fax Number
person
Provider Business Mailing Address Details
Address
3701 Lafayette Rd
City
State
Zip
50707-1129
Phone Number
319-274-7060
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
002249 (Iowa)
Definition
Definition to come...
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