Individual
MRS. JILL RENAE KEANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, CRNA
Contact information
Practice address
700 E UNIVERSITY AVE, DES MOINES, IA 50316-2392
(515) 263-5612
Mailing address
5405 WOODLAND AVE, WEST DES MOINES, IA 50266-7259
(515) 570-0312
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
127773
IA
Other
Enumeration date
06/04/2020
Last updated
06/04/2020
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