Individual
SIERRA KATHERINE KEENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
380 SUWANNEE TRAIL ST, BOWLING GREEN, KY 42103-7956
(270) 901-5000
Mailing address
380 SUWANNEE TRAIL ST, BOWLING GREEN, KY 42103-7956
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
258043
KY
Other
Enumeration date
12/11/2023
Last updated
12/11/2023
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