Provider Demographics
NPI:1871658989
Name:KEEN, ALLISON J (MD)
Entity Type:Individual
Prefix:
First Name:ALLISON
Middle Name:J
Last Name:KEEN
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:2300 COMPUTER RD
Mailing Address - Street 2:SUITE E-25
Mailing Address - City:WILLOW GROVE
Mailing Address - State:PA
Mailing Address - Zip Code:19090-1752
Mailing Address - Country:US
Mailing Address - Phone:215-366-1160
Mailing Address - Fax:215-366-1141
Practice Address - Street 1:2300 COMPUTER RD
Practice Address - Street 2:SUITE E-25
Practice Address - City:WILLOW GROVE
Practice Address - State:PA
Practice Address - Zip Code:19090-1752
Practice Address - Country:US
Practice Address - Phone:215-366-1160
Practice Address - Fax:215-366-1141
Is Sole Proprietor?:No
Enumeration Date:2006-12-27
Last Update Date:2014-07-14
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Provider Licenses
StateLicense IDTaxonomies
PAMD430424207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA112457Medicare PIN