Amy Jane Keenum in East Lansing - Family Medicine
Amy Jane Keenum - NPI 1154388734
Amy Jane Keenum is a Family Medicine in East Lansing, Michigan. Amy Jane Keenum practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Amy Jane Keenum is 1154388734. The last update date is 2018-09-05.
Amy Jane Keenum's current location address is 804 Service Rd, East Lansing, Michigan. You can contact this provider via phone number 5173551300 and fax number 5173551710. The mailing address for Amy Jane Keenum is 804 Service Rd, East Lansing, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Amy Jane Keenum |
|---|---|
| Address | 804 Service Rd, East Lansing, Michigan |
| Phone Number | 5173551300 |
| Fax Number | 5173551710 |
| Sole Proprietor | N |
| Credentials | DO, PHARMD |
NPI Number Detail
| NPI Number | 1154388734 |
|---|---|
| Provider Enumeration Date | 2006-04-27 |
| Last Updated Date | 2018-09-05 |
Provider Mailing Address Detail
| Address | 804 Service Rd |
|---|---|
| City | East Lansing |
| State | Michigan (MI) |
| Post Code | 488247015 |
| Phone Number | 5173551300 |
| Fax Number | 5173551710 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 5101011498 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1154388734 | MI | -- | |
| 3306480 | TN | -- | |
| 01-41688 | TN | UNITED HEALTH CARE | |
| 100032496 | TN | PHP TENNCARE | |
| 9206416 | TN | CIGNA | |
| TN01G4 | TN | JOHN DEERE | |
| 80164595 | RAILROAD MEDICARE | ||
| 3159480 | TN | BLUE CROSS/BLUE SHIELD | |
| 5954498 | TN | AETNA |
Post Comment/ Review Below
What is the unique identifier code issued to Amy Jane Keenum by the Centers for Medicare & Medicaid Services?
The Amy Jane Keenum has been assigned the NPI (National Provider Identifier) 1154388734. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Amy Jane Keenum?
The Amy Jane Keenum is situated at 804 Service Rd, in the city of East Lansing, state of MI, with the zip code 488247015.
What is the Amy Jane Keenum's specialty and taxonomy code?
The Amy Jane Keenum's specialty is Family Medicine, and the corresponding taxonomy code is 207Q00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1154388734 to Amy Jane Keenum?
The Centers for Medicare & Medicaid Services assigned the 1154388734 to Amy Jane Keenum on 2006-04-27.
As of what date were the Amy Jane Keenum's details last updated?
The information pertaining to the Amy Jane Keenum, including its address, specialty, and other details, was most recently updated on 2018-09-05.
NPI Number: 1275535502
Address: 1986 Enterprise Ave Apt B, Great Lakes, IL