Individual
KRISTA MCKEETHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
309 N SAWMILL ST, MOUNT VERNON, IN 47620-2006
(812) 838-6558
Mailing address
415 MULBERRY ST, EVANSVILLE, IN 47713-1230
(812) 423-7791
(812) 436-4316
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
99081879A
IN
Other
Enumeration date
10/13/2017
Last updated
10/13/2017
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