Individual provider · Type 1 NPI

Casey Keenan

Medical Physician Assistant · Bridgeport, CT

NPI number 1992093603 Active

Practice location

267 Grant St
Bridgeport, CT 06610-2805

Call (203) 384-3235 Map

Mailing address

164 Home Acres Ave, C/o Summit Rehab Consultants Pllc
Milford, CT 06460-3518

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X2594 (CT)

Medical Physician Assistant: Definition to come...

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About NPI 1992093603

Casey Keenan's National Provider Identifier is 1992093603, issued on Jul 14, 2011. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Bridgeport, CT. The record was last updated on Mar 11, 2020.