Search › Wisconsin › 1223G0001X
James Keenan, DDS
NPI 1043342025 · on the registry since 2007 · sole proprietor
Practice
- Address
- 21 N Portland St
Fond Du Lac, WI 54935 - Phone
- (920) 922-8060
- Fax
- (920) 926-7618
- Organisation at this address
- Alicia Hans Lcsw
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 6
Registry record
- Primary taxonomy
- 1223G0001X
1223G0001X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin