Provider Demographics
NPI:1609837517
Name:KEENAN, WILLIAM FRANCIS (MD)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:FRANCIS
Last Name:KEENAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1201 GRAMPIAN BLVD
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSPORT
Mailing Address - State:PA
Mailing Address - Zip Code:17701-1900
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:740 HIGH ST
Practice Address - Street 2:SUITE 4001
Practice Address - City:WILLIAMSPORT
Practice Address - State:PA
Practice Address - Zip Code:17701-3100
Practice Address - Country:US
Practice Address - Phone:570-321-2345
Practice Address - Fax:570-321-2359
Is Sole Proprietor?:No
Enumeration Date:2006-03-30
Last Update Date:2019-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD022396E207Q00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0010229150001Medicaid
PA440249OtherFIRST PRIORITY HEALTH
PA189200OtherHIGHMARK BLUE SHIELD
PA1553629OtherUNITEDHEALTHCARE
PA002512OtherFIRST PRIORITY HEALTH
PA5474287OtherAETNA
PAB40941OtherHEALTHAMERICA
PA080124434Medicare PIN
PA189200OtherHIGHMARK BLUE SHIELD
PA440249OtherFIRST PRIORITY HEALTH