Individual
GLENDA KEEN-HOLMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1109 JONES ST, KENNETT, MO 63857-3824
(573) 888-6545
(573) 888-2369
Mailing address
1109 JONES ST, KENNETT, MO 63857-3824
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
131082
MO
Other
Enumeration date
12/21/2007
Last updated
12/21/2007
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