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Individual

OLIVIA ANN KEENAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DNP, APRN, FNP-BC

Contact information

Practice address
7825 WOODSTONE LN, LENEXA, KS 66217-9622
(785) 640-8818
Mailing address
7825 WOODSTONE LN, LENEXA, KS 66217-9622
(785) 640-8818

Taxonomy

Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
13-111822-052
KS
363L00000X
Nurse Practitioner
Primary
53-78921-052
KS

Other

Enumeration date
05/08/2020
Last updated
05/08/2020
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