Individual
TERRA D KEEN-SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 HOSPITAL DR, SPENCER, WV 25276-1050
(304) 927-6822
Mailing address
200 HOSPITAL DR, SPENCER, WV 25276-1050
(304) 927-4444
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
117829
WV
Other
Enumeration date
11/06/2023
Last updated
11/06/2023
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