Individual
KEANA M ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2619 N 58TH ST, MILWAUKEE, WI 53210-2238
(414) 323-3554
(414) 269-9562
Mailing address
2619 N 58TH ST, MILWAUKEE, WI 53210-2238
(414) 323-3554
(414) 269-9562
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
WI
Other
Enumeration date
05/23/2021
Last updated
05/25/2021
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