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Individual

CHERIE L KEAHEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
1989 SARDIS DR, SARDIS CITY, AL 35956-2344
(256) 492-0131
Mailing address
PO BOX 97, GADSDEN, AL 35902-0097

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1046883
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
104626
AL
05
630400099
AL
05
630401099
AL
05
630402099
AL
05
630403099
AL
05
630405099
AL
05
630406099
AL
05
630408099
AL
05
630413099
AL
Enumeration date
07/24/2006
Last updated
01/07/2009
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