| Type | Person | [sources] | |||
|---|---|---|---|---|---|
| Name | GERALD RICHARD JR KEENAN · Gerald R. Keenan Jr. | [sources] | |||
| Birth date | [sources] | ||||
| Nationality | not available | [sources] | |||
| Country | United States | [sources] | |||
| First name | Gerald | [sources] | |||
| ID Number | MA000424L/ OA000021L | [sources] | |||
| Last name | Keenan | [sources] | |||
| Middle name | R. · RICHARD JR | [sources] | |||
| NPI | 1336295971 | [sources] | |||
| Title | P.A.-C. | [sources] | |||
| Position | PHYSICIAN ASSISTANT (IND- LIC HC SERV PRO) | [sources] | |||
| Address | (ME), (ME) · 807 CUSHING ROAD, #168584, WARREN, ME 04864 | [sources] | |||
| Last change | Last processed | First seen | |||
Medical providers who are precluded from participation in the Medical Assistance Program
United States · DHS
People and companies excluded from Federally funded health care programs
United States · OIG
us-fed-excl-gerald-richard-jr-keenan-04864-warren · us-medpa-1a758b96934800662959ca43c4a924a2538a2d25For experts: raw data explorer
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| Address | ||
|---|---|---|
| Full address | Country | |
| (ME), (ME) | United States | |
| United States | Department of Health and Human Services Office of Inspector General | List of Excluded Individuals/Entities (LEIE) | - |