Individual
MRS. CAROL KEEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
6719 GOV GC PERRY HWY, RICHLANDS, VA 24641
(276) 964-9102
Mailing address
6719 GOV GC PERRY HWY, RICHLANDS, VA 24641
(276) 964-9102
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024170391
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0024170391
LICENSURE NUMBER
VA
Enumeration date
10/04/2012
Last updated
07/31/2015
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