| Kathleen J. Keenan, Ph.d., L.l.c. | |
|
10965 Granada Lane Suite 101 Overland Park KS 66211-1412 | |
| (913) 777-6665 | |
| (913) 345-0090 |
| Full Name | Kathleen J. Keenan, Ph.d., L.l.c. |
|---|---|
| Speciality | Psychologist - Counseling |
| Location | 10965 Granada Lane, Overland Park, Kansas |
| Authorized Official Name and Position | Kathleen J Keenan (OWNER/OPERATOR) |
| Authorized Official Contact | 9136481870 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kathleen J. Keenan, Ph.d., L.l.c. 10965 Granada Lane Suite 101 Overland Park KS 66211-1412 Ph: (913) 777-6665 | Kathleen J. Keenan, Ph.d., L.l.c. 10965 Granada Lane Suite 101 Overland Park KS 66211-1412 Ph: (913) 777-6665 |
| NPI Number | 1346579745 |
|---|---|
| Provider Enumeration Date | 12/14/2009 |
| Last Update Date | 09/13/2021 |
| Certification Date | 09/13/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346579745 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC1900X | Psychologist - Counseling | 994 (Kansas) | Primary |
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