Brenda Keener is a Physician Assistant in Joliet, Illinois. Brenda Keener practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Brenda Keener is 1992745491. The last update date is 2019-02-04.
Brenda Keener's current location address is 2100 Glenwood Avenue, Joliet, Illinois. You can contact this provider via phone number 8157252121 and fax number 8157416303. The mailing address for Brenda Keener is 2100 Glenwood Avenue, Joliet, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Brenda Keener |
|---|---|
| Address | 2100 Glenwood Avenue, Joliet, Illinois |
| Phone Number | 8157252121 |
| Fax Number | 8157416303 |
| Sole Proprietor | N |
| Credentials | PA C |
NPI Number Detail
| NPI Number | 1992745491 |
|---|---|
| Provider Enumeration Date | 2006-06-07 |
| Last Updated Date | 2019-02-04 |
Provider Mailing Address Detail
| Address | 2100 Glenwood Avenue |
|---|---|
| City | Joliet |
| State | Illinois (IL) |
| Post Code | 60435 |
| Phone Number | 8157252121 |
| Fax Number | 8157416303 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 85001908 |
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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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What is the unique 10-digit identification code issued to Brenda Keener by the Centers for Medicare & Medicaid Services?
The Brenda Keener has been assigned the NPI (National Provider Identifier) 1992745491 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete address where Brenda Keener is physically located?
The Brenda Keener is situated at the following address: 2100 Glenwood Avenue, Joliet, IL 60435.
What is Brenda Keener's specialized field of practice, and what is the corresponding taxonomy classification code?
The Brenda Keener's area of specialization is Physician Assistant, and the corresponding taxonomy code that categorizes this field of practice is 363A00000X.
On what date did the Brenda Keener receive its 1992745491 assignment from the Centers for Medicare & Medicaid Services?
The Brenda Keener was assigned its 1992745491 by the Centers for Medicare & Medicaid Services on 2006-06-07.
As of what date were the Brenda Keener's details last updated?
The information pertaining to the Brenda Keener, including its address, specialty, and other details, was most recently updated on 2019-02-04.
NPI Number: 1215930425
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