Individual
KEVISHA KEETON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9600 FOREST LN APT 246, DALLAS, TX 75243-5868
(469) 716-1454
Mailing address
9600 FOREST LN APT 246, DALLAS, TX 75243-5868
(469) 716-1454
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
TX
Other
Enumeration date
10/07/2021
Last updated
10/07/2021
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