NPI 1356613012

Mary Kathryn Keenan, PAC

Practitioner Medical Physician Assistant Evansdale, IA

Practice location

Address: 3701 Lafayette Rd, Evansdale, IA 50707-1129
Phone: (319) 274-7060

Registered specialties

Medical Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AM0700X Licence 002249 (IA)

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Registry record

NPI: 1356613012
Entity type: Individual
Sex (as registered): Female
NPI issued: 27 Jan 2012
Record last updated: 3 Jan 2017

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.