Provider Demographics
NPI:1396706677
Name:KEENAN, KEVIN NEWELL (MD)
Entity type:Individual
Prefix:
First Name:KEVIN
Middle Name:NEWELL
Last Name:KEENAN
Suffix:
Gender:M
Credentials:MD
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1 AYRES CIRCLE
Mailing Address - Street 2:NAVAL BRANCH HEALTH CLINIC BUILDING H-1
Mailing Address - City:PORTSMOUTH
Mailing Address - State:NH
Mailing Address - Zip Code:03804
Mailing Address - Country:US
Mailing Address - Phone:207-438-5981
Mailing Address - Fax:207-438-1527
Practice Address - Street 1:1 AYRES CIRCLE
Practice Address - Street 2:NAVAL BRANCH HEALTH CLINIC BUILDING H-1
Practice Address - City:PORTSMOUTH
Practice Address - State:NH
Practice Address - Zip Code:03804
Practice Address - Country:US
Practice Address - Phone:207-438-5981
Practice Address - Fax:207-438-1527
Is Sole Proprietor?:No
Enumeration Date:2006-03-28
Last Update Date:2017-01-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC299312083A0100X
MA1501962083P0901X
NH96562083X0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational Medicine
No2083A0100XAllopathic & Osteopathic PhysiciansPreventive MedicineAerospace Medicine
No2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive Medicine