Individual provider · Type 1 NPI

Jessica Lynn Keeney, PA-C

Medical Physician Assistant · Philadelphia, PA

NPI number 1992561575 Active

Practice location

3401 Civic Center Blvd
Philadelphia, PA 19104-4319

Mailing address

251 W Dekalb Pike Apt E629
King Of Prussia, PA 19406-5602

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XMA065375 (PA)

Medical Physician Assistant: Definition to come...

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About NPI 1992561575

Jessica Lynn Keeney, PA-C's National Provider Identifier is 1992561575, issued on Feb 22, 2024. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Philadelphia, PA. The record was last updated on Feb 22, 2024.