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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KEENAN C. WANAMAKER, DO

Active Sole Proprietor

KEENAN C. WANAMAKER, DO is a Vascular Surgery healthcare provider located in MONTGOMERY, Alabama. NPI 1972508968 is currently active in the NPPES registry. Verify at CMS.

Vascular Surgery · MONTGOMERY, AL

Registration Details

NPI Number
1972508968
Provider Type
Individual
Gender
Male
NPI Issued
Jun 16, 2005 (21.136870001106 yrs)
Last Updated
May 10, 2021
Licenses
3721 (AZ)
DO-900 (AL)
3721 (AZ)
Sole Proprietor
Yes

Practice Information

Address
7085 SYDNEY CURV
MONTGOMERY, AL, 361173509
Browse AL providers · Browse ZIP 36117
Phone
3342464774
Fax
3342462450
Primary Specialty
Vascular Surgery
2086S0129X
Additional Specialty
General Surgery
Additional Specialty
Vascular Surgery

Other Vascular Surgery Providers in MONTGOMERY, AL

Name Credential NPI
GARY MICHAEL GROSS MD 1760434252
DR. ISHWARLAL BHUTA MD 1598823122
BRIAN LEE SELLERS D.O. 1801916788
DR. WILLIAM N VEALE JR. MD, MPH 1093992646
JUSTIN ALEXANDER PARDEN M.D. 1578790895
DR. IRWIN CHRISTOPHER WHITE-GITTENS M.D. 1144635418
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.