Keenen Fisher
Case Manager/Care Coordinator in Cleveland, OH. Individual provider (NPI-1).
NPI number1962393520
StatusActive
Last updated in NPPESJul 11, 2025
Details
- NPI
- 1962393520
- Entity type
- Individual (NPI-1)
- Name
- Keenen Fisher
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 11, 2025
- Certification date
- Jul 11, 2025
- Last updated
- Jul 11, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171M00000X | Case Manager/Care Coordinator | – | OH | Yes |
Practice location
17325 Euclid AveCleveland, OH 44112-1247
Phone 216-659-1916
Mailing address
17325 Euclid AveCleveland, OH 44112-1247
Phone 216-659-1916
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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