Individual
TANYA WARD KEETER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9601 CHINA GROVE CHURCH RD, PINEVILLE, NC 28134-9483
(980) 293-0211
Mailing address
3829 KITLEY PL, CHARLOTTE, NC 28210-6235
(828) 545-8655
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
159822
NC
Other
Enumeration date
04/29/2021
Last updated
04/29/2021
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