Individual
MARTHA JANE KEENER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1221 E CHURCHVILLE RD, CVS/MINUTECLINIC, BEL AIR, MD 21015
(410) 828-0708
Mailing address
43 BOXTHORN RD, ABINGDON, MD 21009-1716
(410) 569-8075
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
Primary
R162682
MD
363LF0000X
Family Nurse Practitioner
R162682
MD
Other
Enumeration date
01/23/2006
Last updated
01/13/2009
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