Individual
MS. STEPHANIE MARIE KEENEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
5000 BLACKMORE RD, CASPER, WY 82609-3345
(307) 233-6000
Mailing address
5000 BLACKMORE RD, CASPER, WY 82609-3345
(307) 233-6000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
411
WY
Other
Enumeration date
02/04/2008
Last updated
08/02/2013
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