Individual
LISA MICHELLE KEOWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
851 MCINTOSH DR, TAYLORSVILLE, KY 40071-8407
(502) 477-2911
Mailing address
851 MCINTOSH DR, TAYLORSVILLE, KY 40071-8407
(502) 477-2911
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
3968P
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
78903952
—
KY
Enumeration date
02/15/2006
Last updated
02/26/2010
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