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Mr. Casey Keenan
Medical Physician Assistant in Bridgeport, Connecticut
NPI 1992093603

Casey Keenan is a Medical Physician Assistant based in Milford, CT and is specialized in Medical. Casey Keenan practices in Bridgeport, CT. The NPI Number for Casey Keenan is 1992093603 and holds a License No. 2594 (Connecticut).

The current practice location address for Casey Keenan is 267 Grant St, Bridgeport, CT and can be reached out via phone at 203-384-3235.

Location: 267 Grant St, Bridgeport, CT, 06460-3518
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1992093603
Provider Name
Casey Keenan
Credential
Provider Entity Type
Individual
Gender
Male
Address
267 Grant St, Bridgeport, CT, 06460-3518
Phone Number
203-384-3235
Fax Number
Provider Enumeration Date
07/14/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
267 Grant St
City
Bridgeport
State
Connecticut
Zip
06610-2805
Phone Number
203-384-3235
Fax Number
person
Provider Business Mailing Address Details
Address
267 Grant St
City
Bridgeport
State
Connecticut
Zip
06610-2805
Phone Number
203-384-3235
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
2594 (Connecticut)
Definition
Definition to come...
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