Individual
DR. KEENA COLLEEN RISOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
123 BAPTIST WAY, PENSACOLA, FL 32503-2254
(850) 469-7406
Mailing address
PO BOX 95590, SOUTH JORDAN, UT 84095-0590
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
5101016050
MI
2084N0400X
Neurology Physician
Primary
OS10341
FL
Other
Enumeration date
04/03/2007
Last updated
03/09/2026
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