Organization
KRISTINA KEENAN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTINA KEENAN (BST)
(775) 253-9639
Entity
Organization
Contact information
Practice address
4581 W DYER RD, PAHRUMP, NV 89048-2897
(775) 537-9639
Mailing address
4581 W DYER RD, PAHRUMP, NV 89048-2897
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
09/09/2016
Last updated
09/09/2016
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