Individual
KRISTINA KEOWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
561 CORINTH RD, PURVIS, MS 39475-4402
(813) 947-1313
Mailing address
561 CORINTH RD, PURVIS, MS 39475-4402
(813) 947-1313
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/29/2026
Last updated
04/29/2026
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