Individual
KRISTEN MCCOY KEENER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AG-ACNP
Contact information
Practice address
2600 GREENWOOD RD, SHREVEPORT, LA 71103-3908
(316) 212-4000
Mailing address
2727 HEARNE AVE STE 301, SHREVEPORT, LA 71103-3918
(318) 631-6400
(318) 631-0300
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP09405
LA
Other
Enumeration date
07/13/2017
Last updated
06/17/2021
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