Provider Demographics
NPI:1790656544
Name:KEENAN, BRITTANY NICOLE
Entity type:Individual
Prefix:
First Name:BRITTANY
Middle Name:NICOLE
Last Name:KEENAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:296 RAILROAD ST
Mailing Address - Street 2:
Mailing Address - City:BLANCHARD
Mailing Address - State:PA
Mailing Address - Zip Code:16826-9842
Mailing Address - Country:US
Mailing Address - Phone:724-809-3096
Mailing Address - Fax:
Practice Address - Street 1:296 RAILROAD ST
Practice Address - Street 2:
Practice Address - City:BLANCHARD
Practice Address - State:PA
Practice Address - Zip Code:16826-9842
Practice Address - Country:US
Practice Address - Phone:724-809-3096
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-15
Last Update Date:2025-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADN009247133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered