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MRS. KIMBERLY ANN KEENAN MD
NPI 1568304822
Student in an Organized Health Care Education/Training Program in Jacksonville, FL

Active since April 07, 2026PECOS Enrolled
2627 RIVERSIDE AVE, JACKSONVILLE, FL 32204(904) 308-7372(904) 308-6909 Get Directions Write a Review

NPPES record last updated: April 7, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Kimberly Ann Keenan Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. KIMBERLY ANN KEENAN MD (NPI 1568304822) is an individual student in an organized health care education/training program in Jacksonville, Florida and active in the NPI registry since April 2026. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1568304822
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameMRS. KIMBERLY ANN KEENANCredential: MD
Location Address2627 RIVERSIDE AVEJacksonville, FL 32204-4717
Mailing Address2627 Riverside AveJacksonville, FL 32204-4717 · (904) 308-7372 · Fax (904) 308-6909
Phone(904) 308-7372
Fax(904) 308-6909
Sole ProprietorYes
Enumeration DateApril 7, 2026
NPPES CertifiedApril 7, 2026
✔ NPI 1568304822 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
2627 RIVERSIDE AVE, Jacksonville, FL 32204
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Kimberly Ann Keenan Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SOUTHEAST ORTHOPEDIC SPECIALISTS, INC
Physical Therapist
2627 RIVERSIDE AVE, 3RD FLOOR
JACKSONVILLE, FL 32204
Duval County (904) 634-0640
DR. HANAIN FAZAL DO
Family Medicine
2627 RIVERSIDE AVE
JACKSONVILLE, FL 32204
Duval County (904) 308-7372
YVONNE NYAKIO KAMAU MD
Family Medicine
2627 RIVERSIDE AVE
JACKSONVILLE, FL 32204
Duval County (904) 308-7372
DANIEL B TEAHAN PT
Physical Therapist
2627 RIVERSIDE AVE, SUITE 300
JACKSONVILLE, FL 32204
Duval County (904) 634-0640
WYNONA FRANCHESCA DIZON
Family Medicine
2627 RIVERSIDE AVE
JACKSONVILLE, FL 32204
Duval County (904) 308-7372
MRS. SONYA JEAN DOMINGUEZ M.D.
Family Medicine
2627 RIVERSIDE AVE
JACKSONVILLE, FL 32204
Duval County (904) 308-7372
KRISTEN M. CURTIS PT
Physical Therapist (Orthopedic)
2627 RIVERSIDE AVE, SUITE 300
JACKSONVILLE, FL 32204
Duval County (904) 634-0640
FARADIA PIERRE MD
Family Medicine
2627 RIVERSIDE AVE
JACKSONVILLE, FL 32204
Duval County (904) 308-7372

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kimberly Keenan's NPI number?

The NPI number for Kimberly Keenan is 1568304822. It was assigned to this individual provider in the NPPES registry on April 7, 2026.

Where is Kimberly Keenan located?

Kimberly Keenan practices at 2627 Riverside Ave, Jacksonville, FL 32204. The listed phone number is (904) 308-7372.

What is Kimberly Keenan's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Kimberly Keenan enrolled in Medicare?

Yes. Kimberly Keenan is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kimberly Keenan was last updated on April 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.