Individual
KEEGAN JUNELL ROBERTSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2582 W BROAD ST, COLUMBUS, OH 43204-3326
(614) 278-0180
Mailing address
5593 GREEN BROTHERS BLVD, GALLOWAY, OH 43119-8284
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
04/10/2018
Last updated
04/10/2018
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