Individual provider · Type 1 NPI

Madeleine Elyse Keenan, MD

Student in an Organized Health Care Education/Training Program · Charlottesville, VA

NPI number 1083554091 Active

Practice location

1215 Lee St., Box 800744
Charlottesville, VA 22908-0816

Call (434) 924-1931 Map

Fax (434) 244-4451

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1083554091

Madeleine Elyse Keenan, MD's National Provider Identifier is 1083554091, issued on Mar 30, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Charlottesville, VA. The record was last updated on Mar 30, 2026.