Individual
MR. KEENAN CARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1972 HUNTINGTON LN, BIRMINGHAM, AL 35214-4877
(205) 335-0644
Mailing address
1972 HUNTINGTON LN, BIRMINGHAM, AL 35214-4877
(205) 335-0644
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4416
AL
Other
Enumeration date
11/16/2022
Last updated
11/16/2022
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