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Contact Information

AMY C KERANEN, MD
4050 COON RAPIDS BLVD NW
COON RAPIDS, MN55433-2522
 Phone: 651-635-9173
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hospice and Palliative Medicine

207PH0002X 17 Physician/Hospice and Palliative Care
Indicates primary specialty

NPI Profile & details for AMY C KERANEN · (Female)

NPI # 1376745810
Status Active
Credentials MD
Entity Individual
Enumeration date 06/05/2007
Last updated 09/28/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • MN License # 51732
  • MN Medicaid 1376745810
Hospital affiliation(s)
  • MERCY HOSPITAL - (Acute Care)
    4050 COON RAPIDS BLVD
    COON RAPIDS, MN 55433
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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