Individual
DR. ALEXANDRA F. KEENAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D
Contact information
Practice address
409 E PLATTE AVE, FORT MORGAN, CO 80701-3335
(970) 867-9993
(970) 867-0622
Mailing address
409 E PLATTE AVE, FORT MORGAN, CO 80701-3335
(970) 867-9993
(970) 867-0622
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
100
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0050
ITS BCBS- OUT OF STATE
CO
05
—
46122877
—
CO
01
—
617523
BLUE CROSS BLUE SHEILD
CO
01
—
640003811
RAILROAD MEDICARE
CO
Enumeration date
07/10/2006
Last updated
03/14/2012
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