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Individual

KEEGAN LAMBETH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
4690 HIGHWAY 17, HELENA, AL 35080-3501
(205) 624-4708
Mailing address
2823 GREYSTONE COMMERCIAL BLVD, BIRMINGHAM, AL 35242-2660
(205) 745-3660

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTH9725
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PTH9725
LICENSE
AL
Enumeration date
02/05/2020
Last updated
02/05/2020
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