Individual
MR. KEANU JOMELLE JUANI GOMEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
3101 BEAUMONT CENTRE CIR STE 100, LEXINGTON, KY 40513-1959
(859) 323-5544
(859) 257-9286
Mailing address
3101 BEAUMONT CENTRE CIR STE 100, LEXINGTON, KY 40513-1959
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1167714
KY
363LF0000X
Family Nurse Practitioner
Primary
4025567
KY
Other
Enumeration date
07/03/2024
Last updated
12/10/2024
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