Individual
RAYMOND JOSEPH KEENER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSN FNP-BC
Contact information
Practice address
711 W 250 S, LA PORTE, IN 46350-8108
(317) 966-0532
Mailing address
711 W 250 S, LA PORTE, IN 46350-8108
(317) 966-0532
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
28160911A
IN
Other
Enumeration date
03/15/2020
Last updated
03/15/2020
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