Individual
VICTORIA RACHEL KEEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2720 SUNSET BLVD, WEST COLUMBIA, SC 29169-4810
(803) 791-2480
(803) 936-4102
Mailing address
PO BOX 6069, WEST COLUMBIA, SC 29171-6069
(803) 791-2480
(803) 936-4102
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
24643
SC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/11/2020
Last updated
04/19/2023
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