Individual
DR. BONNIE ELIZABETH KEATON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
908 SIXTH AVE, PICAYUNE, MS 39466-3802
(601) 798-4182
Mailing address
103 EUNICE ST, BOGALUSA, LA 70427-8419
(985) 750-8045
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1025
MS
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/11/2021
Last updated
01/28/2021
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