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Contact Information

MICHAEL J KEENAN, MD
2802 LEONARD DR
VALPARAISO, IN46383
 Phone: 219-531-0355
 Fax: 219-531-2855
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Otolaryngology

207Y00000X 04 Physician/Otolaryngology
Indicates primary specialty

NPI Profile & details for MICHAEL J KEENAN · (Male)

NPI # 1558332197
Status Active
Credentials MD
Entity Individual
Enumeration date 01/31/2006
Last updated 09/11/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • IN License # 01046708
  • IN Medicaid 200138900
Hospital affiliation(s)
  • PORTER VALPARAISO HOSPITAL - (Acute Care)
    85 EAST US HWY 6
    VALPARAISO, IN 46383
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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