Provider Demographics
NPI:1558728097
Name:KEENAN, TIFFANY (PA)
Entity Type:Individual
Prefix:
First Name:TIFFANY
Middle Name:
Last Name:KEENAN
Suffix:
Gender:F
Credentials:PA
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Mailing Address - Street 1:4815 LIBERTY AVE STE M54
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15224-2156
Mailing Address - Country:US
Mailing Address - Phone:412-621-1818
Mailing Address - Fax:412-621-4337
Practice Address - Street 1:4815 LIBERTY AVE STE M54
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15224-2156
Practice Address - Country:US
Practice Address - Phone:412-621-1818
Practice Address - Fax:412-621-4337
Is Sole Proprietor?:No
Enumeration Date:2016-01-27
Last Update Date:2021-10-22
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant