Individual
MR. KEON IDRIS GRIFFIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
712 S CASCADE ST, FERGUS FALLS, MN 56537-2913
(903) 691-3694
Mailing address
7 TIMBERLANE ST, TEXARKANA, TX 75501-9521
(903) 691-3694
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP136967
TX
Other
Enumeration date
02/14/2019
Last updated
02/14/2019
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