Individual
ADDISON KEENE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1156 S BENTLEY BLVD, CEDAR CITY, UT 84720-1809
(435) 705-7574
Mailing address
1156 S BENTLEY BLVD, CEDAR CITY, UT 84720-1809
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
09/20/2022
Last updated
09/20/2022
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