DR. MICAH JUDD KEENO DO NPI 1487146692

NPI Information

  • NPI: 1487146692
  • Provider Name: DR. MICAH JUDD KEENO, DO
  • Classification: Pediatrics - 2080P0204X
  • Specialization: Pediatric Emergency Medicine
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 701 GROVE RD FL 1
    GREENVILLE, SC
    ZIP 29605
  • Phone: (864) 455-7899

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NPI Details

DR. Micah Judd Keeno, DO is a pediatric emergency medicine pediatrics in Greenville, SC with 8 years of experience. The provider is a pediatrician who has special qualifications to manage emergencies in infants and children. DR. Micah Judd Keeno, DO NPI is 1487146692. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

701 GROVE RD FL 1
GREENVILLE, SC
ZIP 29605-210
Phone: (864) 455-7899
Fax: (864) 455-5474

The NPI 1487146692 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 6/4/2018 and was last updated on 8/22/2025.

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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1390200000XStudent in an Organized Health Care Education/Training ProgramNo
22080P0204XPediatricsPediatric Emergency Medicine94688SOUTH CAROLINAYes
3208000000XPediatrics34.015270OHIONo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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