Individual
MS. LAREN C KEENE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
248 LAUREN PINES DR, YORK, SC 29745-7771
(704) 460-1733
Mailing address
248 LAUREN PINES DR, YORK, SC 29745-7771
(704) 460-1733
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
175105
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
102674
EMPLOYER REQUEST
NC
Enumeration date
12/28/2021
Last updated
12/28/2021
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