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Contact Information

JACQUELINE M KEENAN, AA
9500 EUCLID AVE
CLEVELAND, OH44195-0001
 Phone: 800-223-2273
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anesthesiologist Assistant

367H00000X 32 Anesthesiology Assistant
Indicates primary specialty

NPI Profile & details for JACQUELINE M KEENAN · (Female)

NPI Number 1902864978
Status Active
Credentials AA
Entity Individual
Enumeration date 05/01/2006
Last updated 02/11/2008 - About 18 years ago
Sole proprietor 1 No
Identifiers
  • OH License # 67000055
  • OH Medicaid 2265169
Hospital affiliation(s)
  • ST VINCENT CHARITY MEDICAL CENTER - (Acute Care)
    2351 EAST 22ND STREET
    CLEVELAND, OH 44115
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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