Provider Demographics
NPI:1689359424
Name:KEENER, WILLIAM PATTON JR (AAC, CRS, CFRS)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:PATTON
Last Name:KEENER
Suffix:JR
Gender:M
Credentials:AAC, CRS, CFRS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:920 CENTURY DR
Mailing Address - Street 2:
Mailing Address - City:MECHANICSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17055-8417
Mailing Address - Country:US
Mailing Address - Phone:717-766-6974
Mailing Address - Fax:717-766-6975
Practice Address - Street 1:920 CENTURY DR
Practice Address - Street 2:
Practice Address - City:MECHANICSBURG
Practice Address - State:PA
Practice Address - Zip Code:17055-8417
Practice Address - Country:US
Practice Address - Phone:717-766-6974
Practice Address - Fax:717-766-6975
Is Sole Proprietor?:No
Enumeration Date:2023-06-20
Last Update Date:2023-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
171M00000X
PA8512171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator