VIVIAN KEENAN M.D. NPI 1407117476

NPI Information

Vivian Keenan, M.D. is a pulmonary disease internal medicine in Watertown, NY with 12 years of experience. The provider is an internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. Vivian Keenan, M.D. NPI is 1407117476. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: RUTGERS SCHOOL OF DENTAL MEDICINE
Graduation Year:2012

The provider's business location address is:

19320 US ROUTE 11
WATERTOWN, NY
ZIP 13601-337
Phone: (315) 786-0254

The NPI 1407117476 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/6/2012 and was last updated on 1/12/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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