Individual
AUSTIN KEENAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1103 OLD TOWN LN, CHEYENNE, WY 82009-4353
(307) 365-4460
Mailing address
1103 OLD TOWN LN, CHEYENNE, WY 82009-4353
(307) 365-4460
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
07/13/2022
Last updated
07/13/2022
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