Michael Robert Keane I, L.Ac., B.Ph
Acupuncturist in Philadelphia, PA. Individual provider (NPI-1).
NPI number1982149787
StatusActive
Last updated in NPPESJan 3, 2017
Details
- NPI
- 1982149787
- Entity type
- Individual (NPI-1)
- Name
- Mr. Michael Robert Keane I
- Credential
- L.Ac., B.Ph
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jan 3, 2017
- Last updated
- Jan 3, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171100000X | Acupuncturist | AK001190 | PA | Yes |
Practice location
8151 Ridge AvePhiladelphia, PA 19128-2902
Phone 215-487-2500
Mailing address
316 Stanchion DrStroudsburg, PA 18360-8318
Phone 570-234-6216
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