Provider Demographics
NPI:1174248223
Name:KEENEY, RACHEL (CNM)
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:
Last Name:KEENEY
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9062 BALIN CT
Mailing Address - Street 2:
Mailing Address - City:PIKESVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21208-2143
Mailing Address - Country:US
Mailing Address - Phone:860-605-6559
Mailing Address - Fax:
Practice Address - Street 1:36 E 2ND ST STE 204
Practice Address - Street 2:
Practice Address - City:RIVERHEAD
Practice Address - State:NY
Practice Address - Zip Code:11901-4731
Practice Address - Country:US
Practice Address - Phone:631-486-0832
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-10-10
Last Update Date:2022-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife