Provider Demographics
NPI:1437251519
Name:KEENEY, GALEN MARTIN (MD)
Entity Type:Individual
Prefix:MR
First Name:GALEN
Middle Name:MARTIN
Last Name:KEENEY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:900 BRYAN STREET, SUITE 5
Mailing Address - Street 2:INTEGRATED BEHAVIORAL HEALTHCARE D/B/A HUNTINGDON COUNS
Mailing Address - City:HUNTINGDON
Mailing Address - State:PA
Mailing Address - Zip Code:16652
Mailing Address - Country:US
Mailing Address - Phone:814-643-6300
Mailing Address - Fax:814-643-8776
Practice Address - Street 1:900 BRYAN STREET, SUITE 5
Practice Address - Street 2:INTEGRATED BEHAVIORAL HEALTHCARE D/B/A HUNTINGDON COUNS
Practice Address - City:HUNTINGDON
Practice Address - State:PA
Practice Address - Zip Code:16652
Practice Address - Country:US
Practice Address - Phone:814-643-6300
Practice Address - Fax:814-643-8776
Is Sole Proprietor?:No
Enumeration Date:2006-09-01
Last Update Date:2013-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD052653L2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA767030OtherBLUE SHIELD
PA001467276Medicaid
PAP00001874OtherRAILROAD MEDICARE
PAF78896Medicare UPIN
PA767030Medicare PIN
PA767030OtherBLUE SHIELD
PAKE767030Medicare ID - Type Unspecified