Provider Demographics
NPI:1447577945
Name:KEENER, ADRIENNE MARIE (MD)
Entity Type:Individual
Prefix:
First Name:ADRIENNE
Middle Name:MARIE
Last Name:KEENER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:710 WESTWOOD PLZ # 1-240
Mailing Address - Street 2:BOX 951769
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90095-1769
Mailing Address - Country:US
Mailing Address - Phone:310-825-6681
Mailing Address - Fax:
Practice Address - Street 1:710 WESTWOOD PLZ # 1-240
Practice Address - Street 2:BOX 951769
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90095-1769
Practice Address - Country:US
Practice Address - Phone:310-825-6681
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-23
Last Update Date:2019-08-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA1200072084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology