Individual
MEKAYLA KEENAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4715 S 132ND ST, OMAHA, NE 68137-1899
(402) 644-6500
Mailing address
8216 CITY CENTER DR APT 644, LA VISTA, NE 68128-2954
(402) 987-8983
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
02/26/2025
Last updated
02/26/2025
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