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Individual

DANIEL KEENE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
8365 SILVERTHORN CV, GERMANTOWN, TN 38139-5253
(901) 848-1809
Mailing address
8365 SILVERTHORN CV, GERMANTOWN, TN 38139-5253
(901) 848-1809

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0000191560
TN
367500000X
Certified Registered Nurse Anesthetist
Primary
0000027909
TN

Other

Enumeration date
04/24/2020
Last updated
08/24/2020
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