Individual
LATOYA KEEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
699 FARMHOUSE LN, BOZEMAN, MT 59715-9402
(406) 556-6500
Mailing address
699 FARMHOUSE LN, BOZEMAN, MT 59715-9402
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN-102067
MT
Other
Enumeration date
01/03/2017
Last updated
01/03/2017
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