Individual
MRS. BRIDGET M KEENAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
3579 MARION WALWORTH RD, MARION, NY 14505-9338
(585) 690-7153
Mailing address
3579 MARION WALWORTH RD, MARION, NY 14505-9338
(585) 690-7153
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
295744
NY
Other
Enumeration date
02/18/2022
Last updated
02/18/2022
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