Most Relevant Information
Provider Data
| NPI Number: | 1003553520 |
| Provider Name: | RICHARD ALBERT KEENAN FNP-BC |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | 31700 |
Most Important Dates
| Enumeration Date: | 05/16/2022 |
| Last Updated: | 09/30/2022 |
Provider Practice Location
1500 W POPLAR AVE STE 206
COLLIERVILLE
TN
380170601
Practice Location Phone/Fax
| Phone: | 9018618484 |
| Fax: | 9018618489 |
Provider Mailing Location
428 NUTHATCH DR
COLLIERVILLE
TN
380171069
Provider Mailing Phone/Fax
| Phone: | 9018301959 |
| Fax: | 9017678302 |