Individual
KASEY KEOWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
905 DENNY RD, COLUMBIA, SC 29203-2509
(803) 530-0698
Mailing address
905 DENNY RD, COLUMBIA, SC 29203-2509
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5597
SC
Other
Enumeration date
09/21/2015
Last updated
09/21/2015
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