Richard Patrick Keenan, CLINICAL SOCIAL WORK is a
Contractor based in San Diego, California. Richard Patrick Keenan is licensed to practice in California (license number LCS 17532) and his current practice location is
34800 Bob Wilson Dr, Nmcsd, Attn: Medical Staff Services, San Diego, California. He can be reached at his office (for appointments etc.) via phone at
(619) 532-6460.
NPI number for Richard Patrick Keenan is 1134191190 and his current mailing address is 34800 Bob Wilson Dr, Nmcsd, Attn: Medical Staff Services, San Diego, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1134191190.
Healthcare Provider's Profile
Full Name | Richard Patrick Keenan |
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Gender | Male |
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Speciality | Contractor |
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Location | 34800 Bob Wilson Dr, San Diego, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1134191190
- Provider Enumeration Date: 02/03/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Richard Patrick Keenan such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1134191190 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | LCS 17532 (California) | Primary |
171W00000X | Contractor | LCS 17532 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Richard Patrick Keenan is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Richard Patrick Keenan, CLINICAL SOCIAL WORK 34800 Bob Wilson Dr, Nmcsd, Attn: Medical Staff Services, San Diego, CA 92134-1098 Ph: (619) 532-6460 | Richard Patrick Keenan, CLINICAL SOCIAL WORK 34800 Bob Wilson Dr, Nmcsd, Attn: Medical Staff Services, San Diego, CA 92134-1098 Ph: (619) 532-6460 |
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