Individual
KIMBERLY KEENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
3864 N 27TH AVE, PHOENIX, AZ 85017-4703
(602) 685-6000
(602) 995-8503
Mailing address
3003 N CENTRAL AVE, SUITE 200, PHOENIX, AZ 85012-2902
(602) 685-6132
(602) 302-7925
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
AP8196
AZ
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP8196
AZ
Other
Enumeration date
10/02/2015
Last updated
07/02/2020
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