Provider Demographics
NPI:1518067016
Name:KEENA, BETH A (MS, CGC)
Entity Type:Individual
Prefix:MRS
First Name:BETH
Middle Name:A
Last Name:KEENA
Suffix:
Gender:F
Credentials:MS, CGC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1815 LIMESTONE RD
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19804-4107
Mailing Address - Country:US
Mailing Address - Phone:302-584-5198
Mailing Address - Fax:
Practice Address - Street 1:640 S STATE ST
Practice Address - Street 2:MATERNAL FETAL MEDICINE-BAYHEALTH MEDICAL CENTER
Practice Address - City:DOVER
Practice Address - State:DE
Practice Address - Zip Code:19901-3530
Practice Address - Country:US
Practice Address - Phone:302-744-6220
Practice Address - Fax:302-744-6002
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-24
Last Update Date:2009-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS