Individual
KRISTIN KEEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2701 CHESTNUT STATION CT, LOUISVILLE, KY 40299-6395
(800) 335-1060
Mailing address
1600 E 400 S, KNOX, IN 46534-8603
(574) 806-2430
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06005360A
IN
Other
Enumeration date
07/18/2016
Last updated
07/18/2016
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