Mr Kevin William Keane, PMHNP | |
400 W Lancaster Ave, Devon, PA 19333-1531 | |
(610) 999-6414 | |
Not Available |
Full Name | Mr Kevin William Keane |
---|---|
Gender | Male |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 400 W Lancaster Ave, Devon, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1417639469 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | SP027911 (Pennsylvania) | Primary |
Entity Name | 2 Crows Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134789662 PECOS PAC ID: 0244652279 Enrollment ID: O20200622000933 |
Mailing Address | Practice Location Address |
---|---|
Mr Kevin William Keane, PMHNP 1221 Plantation Dr, West Deptford, NJ 08086-2315 Ph: (856) 628-7468 | Mr Kevin William Keane, PMHNP 400 W Lancaster Ave, Devon, PA 19333-1531 Ph: (610) 999-6414 |
Theresa Christina Disipio, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 400 E Lancaster Ave, Devon, PA 19333 Phone: 610-999-6414 | |
Dorota Ketch, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 400 W Lancaster Ave, Devon, PA 19333 Phone: 610-999-6141 | |
Wonhee Park, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 261 Avon Rd Apt I 463, Devon, PA 19333 Phone: 484-919-5199 | |
Meghan Christine Devoti, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 400 W Lancaster Ave, Devon, PA 19333 Phone: 610-999-6414 | |
Jayavantika Rohan Mirchandani, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 235 W Lancaster Ave, Devon, PA 19333 Phone: 484-551-3366 | |
Therese Narzikul, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 510 Millbrook Rd, Devon, PA 19333 Phone: 610-687-5117 |