Individual
MR. LEWIS WESLEY KEEN JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSN CRNA
Contact information
Practice address
960 J K AVENT DR, GRENADA, MS 38901-5230
(662) 227-7375
Mailing address
867 HAILE RD, GORE SPRINGS, MS 38929-9549
(662) 226-9889
(662) 229-9889
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R640557
MS
Other
Enumeration date
12/26/2006
Last updated
07/08/2007
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