Keenan David Atwood, is a
Student In An Organized Health Care Education/training Program physician based in Temple, Texas. Keenan David Atwood is licensed to practice in * (Not Available) (license number ) and his current practice location is 2401 S 31st St, Temple, Texas. He can be reached at his office (for appointments etc.) via phone at
(254) 724-9425.
NPI number for Keenan David Atwood is 1588083356 and his current mailing address is 2401 S 31st St, Temple, Texas. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1588083356.
Physician's Profile
| Full Name | Keenan David Atwood |
|---|
| Gender | Male |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 2401 S 31st St, Temple, Texas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1588083356
- Provider Enumeration Date: 04/09/2014
- Last Update Date: 03/25/2024
Medical Identifiers
Medical identifiers for Keenan David Atwood such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1588083356 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207P00000X | Emergency Medicine | R3469 (Texas) | Secondary |
| 2083A0100X | Preventive Medicine - Aerospace Medicine | 28887 (Nebraska) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | 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. Keenan David Atwood 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 |
|---|
Keenan David Atwood,
2401 S 31st St,
Temple, TX 76508-0001
Ph: (254) 724-9425 | Keenan David Atwood,
2401 S 31st St,
Temple, TX 76508-0001
Ph: (254) 724-9425 |
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