Active NPIIndividual provider

Craig M Keanna, MD, FAAP

Pediatrics in Wallingford, Connecticut

NPI Number1881635662
Practice location
1062 Barnes RD, Wallingford, CT 06492-6012
Fax
—
Last updated
February 16, 2016

Craig Michael Keanna is a Pediatrics based in Wallingford, CT. Craig Michael Keanna practices in Wallingford, CT and has the professional credentials of MD, FAAP. The NPI Number for Craig Michael Keanna is 1881635662 and holds a License No. 034961 (CT). The current practice location address for Craig Michael Keanna is 1062 Barnes RD, Wallingford, CT 06492-6012 and can be reached out via phone at 203-294-6328.

Provider Profile Details

NPI Number
1881635662
Provider Name
Craig Michael Keanna
Credential
MD, FAAP
Provider Entity Type
Individual
Gender
Male
Address
1062 Barnes RD, Wallingford, CT 06492-6012
Phone Number
203-294-6328
Primary Taxonomy
Pediatrics · 208000000X
Sole Proprietor
No
Provider Enumeration Date
June 10, 2006
Last Update Date
February 16, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
1062 Barnes RD
Wallingford, CT 06492-6012
Zip
06492-6012
Phone Number
203-294-6328
Wallingford, CT 06492Get directions →

Provider Business Mailing Address Details

Address
1062 Barnes RD
Wallingford, CT 06492-6012
City
Wallingford
State
CT
Zip
06492-6012
Phone Number
203-294-6328

License Information

License Number
034961
License State
CT
Taxonomy
Pediatrics · 208000000X · 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 Craig M Keanna, MD, FAAP?

The NPI number of Craig M Keanna, MD, FAAP is 1881635662. It was assigned on June 10, 2006 and is currently active in the NPPES registry.

What is the specialty of Craig M Keanna, MD, FAAP?

Craig M Keanna, MD, FAAP is registered under the primary taxonomy Pediatrics (code 208000000X), licensed in CT under license number 034961.

Where does Craig M Keanna, MD, FAAP practice?

The practice location is 1062 Barnes RD, Wallingford, CT 06492-6012. The office can be reached at 203-294-6328 (phone).

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 1881635662 directly on the NPPES registry website.

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