Organization
KEANE ALTERNATIVES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEATHER D KEANE CNOR, RNFA (PRESIDENT)
(307) 262-2467
Entity
Organization
Contact information
Practice address
2105 E TETON BLVD, GREEN RIVER, WY 82935-6220
(307) 262-2467
Mailing address
2105 E TETON BLVD, GREEN RIVER, WY 82935-6220
(307) 262-2467
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
16282
WY
Other
Enumeration date
06/29/2009
Last updated
06/29/2009
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