David Oliver Keenan in Santa Cruz - Physician Assistant
David Oliver Keenan - NPI 1225167208
David Oliver Keenan is a Physician Assistant in Santa Cruz, California. David Oliver Keenan practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for David Oliver Keenan is 1225167208. The last update date is 2009-08-11.
David Oliver Keenan's current location address is 1555 Soquel Dr, Santa Cruz, California. You can contact this provider via phone number 8314627710. The mailing address for David Oliver Keenan is 1555 Soquel Dr, Santa Cruz, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | David Oliver Keenan |
|---|---|
| Address | 1555 Soquel Dr, Santa Cruz, California |
| Phone Number | 8314627710 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1225167208 |
|---|---|
| Provider Enumeration Date | 2007-03-05 |
| Last Updated Date | 2009-08-11 |
Provider Mailing Address Detail
| Address | 1555 Soquel Dr |
|---|---|
| City | Santa Cruz |
| State | California (CA) |
| Post Code | 950651705 |
| Phone Number | 8314627710 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA 12881 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to David Oliver Keenan by the Centers for Medicare & Medicaid Services?
The David Oliver Keenan has been issued the NPI (National Provider Identifier) 1225167208 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where David Oliver Keenan is geographically located?
The David Oliver Keenan is physically situated at the following location: 1555 Soquel Dr, Santa Cruz, CA, 950651705.
What is David Oliver Keenan's area of expertise and its corresponding taxonomy classification?
The David Oliver Keenan's field of specialization is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the David Oliver Keenan receive the assignment of its 1225167208 from the Centers for Medicare & Medicaid Services?
The David Oliver Keenan was issued its 1225167208 by the Centers for Medicare & Medicaid Services on 2007-03-05.
As of what date were the David Oliver Keenan's details last updated?
The information pertaining to the David Oliver Keenan, including its address, specialty, and other details, was most recently updated on 2009-08-11.
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