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Individual

KEEGAN MICHAEL DRAWE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
APRN

Contact information

Practice address
5300 S HIGHWAY 95 STE A, FORT MOHAVE, AZ 86426-9251
(928) 788-1911
Mailing address
PO BOX 32236, LAS VEGAS, NV 89173-2236
(801) 735-4568

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
840039
NV
363LF0000X
Family Nurse Practitioner
Primary
230897
AZ

Other

Enumeration date
02/19/2021
Last updated
09/09/2025
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