Individual
MRS. DARNEL KEYES-WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
549 COX RD, GASTONIA, NC 28054-0628
(704) 864-1558
Mailing address
549 COX RD, GASTONIA, NC 28054-0628
(704) 864-1558
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
081575
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
081575
—
NC
Enumeration date
05/21/2015
Last updated
05/21/2015
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