Individual
KEEGAN WHITELEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-AC
Contact information
Practice address
7700 FLOYD CURL DR, SAN ANTONIO, TX 78229-3902
(210) 575-7777
Mailing address
28815 THROSSEL LN, SAN ANTONIO, TX 78260-4463
(210) 364-5315
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
1190929
TX
363LP0222X
Critical Care Pediatric Nurse Practitioner
Primary
1190929
TX
Other
Enumeration date
02/12/2025
Last updated
04/01/2025
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