Individual provider · Type 1 NPI

Charles Anthony Keane, MEDICAL STUDENT

Student in an Organized Health Care Education/Training Program · Saginaw, MI

NPI number 1235755810 Active

Practice location

700 Cooper Ave
Saginaw, MI 48602-5383

Mailing address

Cmed 1632 Stone St.
Saginaw, MI 48602

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 1235755810

Charles Anthony Keane, MEDICAL STUDENT's National Provider Identifier is 1235755810, issued on Jun 19, 2020. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Saginaw, MI. The record was last updated on Jun 19, 2020.