Provider Demographics
NPI:1821058942
Name:KEENAN, DAVID L (MD)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:L
Last Name:KEENAN
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Gender:M
Credentials:MD
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Mailing Address - Street 1:5909 PEACHTREE DUNWOODY RD NE
Mailing Address - Street 2:SUITE 720
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30328-8102
Mailing Address - Country:US
Mailing Address - Phone:770-928-2276
Mailing Address - Fax:770-592-2136
Practice Address - Street 1:5909 PEACHTREE DUNWOODY RD NE
Practice Address - Street 2:SUITE 720
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30328-8102
Practice Address - Country:US
Practice Address - Phone:770-928-2276
Practice Address - Fax:770-592-2136
Is Sole Proprietor?:No
Enumeration Date:2006-03-24
Last Update Date:2011-07-20
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Provider Licenses
StateLicense IDTaxonomies
GA029481207VE0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VE0102XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyReproductive Endocrinology