Individual
LAURA ANN KECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
129 RODNEY ST, HAWKINS, TX 75765-2767
(903) 752-5552
Mailing address
129 RODNEY ST, HAWKINS, TX 75765-2767
(903) 752-5552
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
527007
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
163W00000X
—
TX
Enumeration date
03/17/2018
Last updated
03/17/2018
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