National Provider Identifier

Peter J. Keenan

Peter J. Keenan is listed in the NPPES registry with a primary specialty of Rehabilitation Counselor in Elmira, NY.

NPI 1538668512Elmira, NYRehabilitation Counselor

Profile Overview

NPI
1538668512
Provider Type
Individual
Primary Specialty
Rehabilitation Counselor
Enumeration Date
February 06, 2018
Last Updated
February 06, 2018

Practice Location

  • 1149 Sullivan St
  • Elmira, NY 14901

Specialties

  • Rehabilitation Counselor (225C00000X)
Full Record
NPI
1538668512
Entity Type
Individual
Last Name
Keenan
First Name
Peter
Middle Name
J.
Mailing Street Address
1149 Sullivan St
Mailing City
Elmira
Mailing State
NY
Mailing ZIP Code
14901
Mailing Country
US
Mailing Phone
(607) 734-2006
Practice Street Address
1149 Sullivan St
Practice City
Elmira
Practice State
NY
Practice ZIP Code
14901
Practice Country
US
Enumeration Date
February 06, 2018
Last Updated
February 06, 2018
Sex
Male
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Rehabilitation Counselor (225C00000X)
Other Identifiers
225C00000X (NY)