Mr. Casey Keenan
Physician Assistant, Medical in Bridgeport, Connecticut
1992093603- Practice location
- 267 Grant St, Bridgeport, CT 06610-2805
- Phone
- 203-384-3235
- Fax
- —
- Last updated
- March 11, 2020
Casey Keenan is a Physician Assistant, Medical based in Bridgeport, CT. Casey Keenan practices in Bridgeport, CT. The NPI Number for Casey Keenan is 1992093603 and holds a License No. 2594 (CT). The current practice location address for Casey Keenan is 267 Grant St, Bridgeport, CT 06610-2805 and can be reached out via phone at 203-384-3235.
Provider Profile Details
- NPI Number
- 1992093603
- Provider Name
- Casey Keenan
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 267 Grant St, Bridgeport, CT 06610-2805
- Phone Number
- 203-384-3235
- Primary Taxonomy
- Physician Assistant, Medical · 363AM0700X
- Sole Proprietor
- No
- Provider Enumeration Date
- July 14, 2011
- Last Update Date
- March 11, 2020
- Certification Date
- March 11, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 267 Grant St
Bridgeport, CT 06610-2805 - City
- Bridgeport
- State
- Connecticut
- Zip
- 06610-2805
- Phone Number
- 203-384-3235
Provider Business Mailing Address Details
- Address
- 164 Home Acres Ave
C/O Summit Rehab Consultants PLLC
Milford, CT 06460-3518 - City
- Milford
- State
- CT
- Zip
- 06460-3518
- Phone Number
- 203-296-2016
- Fax Number
- 203-923-1010
License Information
- License Number
- 2594
- License State
- CT
- Taxonomy
- Physician Assistant, Medical · 363AM0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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. Casey Keenan?
The NPI number of Mr. Casey Keenan is 1992093603. It was assigned on July 14, 2011 and is currently active in the NPPES registry.
What is the specialty of Mr. Casey Keenan?
Mr. Casey Keenan is registered under the primary taxonomy Physician Assistant, Medical (code 363AM0700X), licensed in CT under license number 2594.
Where does Mr. Casey Keenan practice?
The practice location is 267 Grant St, Bridgeport, CT 06610-2805. The office can be reached at 203-384-3235 (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 1992093603 directly on the NPPES registry website.