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Individual

MRS. ALICE SUSAN KEETON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
1100 SOUTH JACKSON HIGHWAY, SUITE 150, SHEFFIELD, AL 35660-5774
(256) 383-4447
(256) 381-7999
Mailing address
1100 SOUTH JACKSON HIGHWAY, SUITE 150, SHEFFIELD, AL 35660-5774
(256) 383-4447
(256) 381-7999

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
1052368
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
009913650
AL
Enumeration date
01/26/2006
Last updated
01/09/2012
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