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Contact Information

KIMBERLY S KEANE, PT
314 S MANNING BLVD
ALBANY, NY12208-1708
 Phone: 518-453-2273
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for KIMBERLY S KEANE · (Female)

NPI # 1013095090
Status Active
Credentials PT (Physical Therapist)
Entity Individual
Enumeration date 11/01/2006
Last updated 09/08/2016 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 018391
  • NY Medicaid 00018391
  • Other 7203472 AETNA
  • Other 000407413001 BSNENY
  • Other 1044472 CDPHP
  • Other 040426006275 FIDELIS
  • Other 82313 GHIHMO
  • Other 249402 MVP
Hospital affiliation(s) Not Available
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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