Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
OLIVIA RAFFAELLA-ANNA KEENAN, P.A.-C
Active Sole ProprietorOLIVIA RAFFAELLA-ANNA KEENAN, P.A.-C is a Medical Physician Assistant healthcare provider located in WOODHAVEN, Michigan. NPI 1275189334 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · WOODHAVEN, MI
Registration Details
- NPI Number
- 1275189334
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 14, 2019 (7.0340129964194 yrs)
- Last Updated
- Jan 14, 2025
- Licenses
-
5601009409 (MI)5601009409 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
21401 ALLEN RDWOODHAVEN, MI, 481831665Browse MI providers · Browse ZIP 48183
- Phone
- 7346750835
- Fax
- 7346750873
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
- Additional Specialty
- Medical Physician Assistant
Other Medical Physician Assistant Providers in WOODHAVEN, MI
| Name | Credential | NPI |
|---|---|---|
| LAUREN MARIE BULLARD | PA-C | 1720330319 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.