Individual provider · Type 1 NPI
Olivia Raffaella-Anna Keenan, P.A.-C
Medical Physician Assistant · Woodhaven, MI
NPI number
1275189334
Active
Practice location
21401 Allen Rd
Woodhaven, MI 48183-1665
Fax (734) 675-0873
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dermatology Physician | 207N00000X | 5601009409 (MI) |
| Medical Physician Assistant Primary | 363AM0700X | 5601009409 (MI) |
Medical Physician Assistant: Definition to come...
4 other providers at this address
Other medical physician assistant providers in Woodhaven
About NPI 1275189334
Olivia Raffaella-Anna Keenan, P.A.-C's National Provider Identifier is 1275189334, issued on Aug 14, 2019. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Woodhaven, MI. The record was last updated on Jan 14, 2025.