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Individual

AMBER KEEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
259 SHERATON DR NW, NORTH CANTON, OH 44720-2271
(330) 605-1527
Mailing address
259 SHERATON DR NW, NORTH CANTON, OH 44720-2271

Taxonomy

Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
OH
374U00000X
Home Health Aide

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0000256299
OH
Enumeration date
01/15/2021
Last updated
01/15/2021
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