# KRISTINE KEENE-HETH, APRN-C LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1962097949
- **Authorized official:** KRISTINE KEENE-HETH APRN-C (MANAGER)
- **Authorized official phone:** (808) 343-2358

## Contact information

- **Practice address:** 29304 PERILLI PL, WESLEY CHAPEL, FL 33543-0008
- **Practice address phone:** (808) 343-2358
- **Mailing address:** 29304 PERILLI PL, WESLEY CHAPEL, FL 33543-0008
- **Mailing address phone:** (808) 343-2358

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302F00000X | Exclusive Provider Organization | — | NULL | Yes |

## Other

- **Enumeration date:** 03/02/2021
- **Last updated:** 03/03/2021