Individual
JEANA LEE KEITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-CNP
Contact information
Practice address
6470 S HIGHWAY 27, SOMERSET, KY 42501-6075
(606) 341-1339
Mailing address
555 JONAH KELSEY RD, RUSSELL SPRINGS, KY 42642-8614
(765) 580-9603
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
4015987
KY
Other
Enumeration date
02/08/2024
Last updated
02/08/2024
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