NPI 1003442831

Patrick Keenan, PAC

Practitioner Physician Assistant Camden, NJ

Practice location

Address: 1 Cooper Plz, Camden, NJ 08103-1461
Phone: (856) 342-3150
Mailing address: 1 Federal St # 200, Camden, NJ 08103-1088

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 25MP00562700 (NJ)

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Registry record

NPI: 1003442831
Entity type: Individual
Sex (as registered): Male
NPI issued: 12 Mar 2020
Record last updated: 22 Apr 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.