Thomas J Keenan IV OD

NPI 1083606123 - Optometrist - 152W00000X

NPI Details
NPI 1083606123
Gender Male
Enumeration Date 08/16/2005
Last Updated 02/19/2014
Entity Type Individual
Active Over 11 years ago
Practice Location
1627 MIDLAND TRL
SHELBYVILLE KY, 40065-1638, US
Phone (502) 633-2985
Fax (502) 647-0327
Business Location
1627 MIDLAND TRL
SHELBYVILLE KY, 40065-1638, US
Phone (502) 633-2985
Fax (502) 647-0327
Toxanomy
Taxonomy Code 152W00000X
License State Kentucky
License Number 1008DT
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According to our database, Dr. Thomas J Keenan IV OD NPI is 1083606123, taxonomy code is 152W00000X and license number is 1008DT, license state is located at Kentucky. Thomas J Keenan IV OD physically located at 1627 Midland Trl, Shelbyville KY, 40065-1638. NPI Number Thomas J Keenan IV OD has the Individual type.

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1083606123 NPI number is provided on an as is basis without warranty of any kind. 1083606123 is maintained by the National Plan & Provider Enumeration System. The contents of Thomas J Keenan IV OD are for informational purposes only.