Individual
KARA L KEENAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP-C
Contact information
Practice address
713 W 11TH ST, LARNED, KS 67550-2055
(620) 804-6007
(620) 285-6195
Mailing address
713 W 11TH ST, LARNED, KS 67550-2055
(620) 804-6007
(620) 285-6195
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
45342
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100428190A
—
KS
05
—
100428190D
—
KS
Enumeration date
05/11/2006
Last updated
11/29/2010
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