Individual
NICOLE KECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
4120 SCENIC DR, EUGENE, OR 97404-1253
(217) 549-2988
Mailing address
4120 SCENIC DR, EUGENE, OR 97404-1253
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
201705156LPN
OR
Other
Enumeration date
09/07/2017
Last updated
09/07/2017
About Stedi
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