Individual
KATIE KEENAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11040 N STATE ROAD 77, HAYWARD, WI 54843-3606
(715) 934-4321
Mailing address
W3494 HAMILTON RD, SPRINGBROOK, WI 54875-9301
(940) 435-2407
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
13412-33
WI
Other
Enumeration date
12/26/2022
Last updated
12/26/2022
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