Individual
MR. KEENIS BOWLING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
333 BEACON HILL RD, MOREHEAD, KY 40351-6178
(606) 784-3004
(606) 784-3011
Mailing address
333 BEACON HILL RD, MOREHEAD, KY 40351-6178
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
1087637
KY
Other
Enumeration date
04/09/2010
Last updated
04/09/2010
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