Individual
ANGELA L. KEEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
1328 LEESON DR, BOWLING GREEN, KY 42103
(270) 791-6489
(270) 781-7995
Mailing address
1328 LEESON DR, BOWLING GREEN, KY 42103-1526
(270) 791-6489
(270) 781-7995
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
R0504
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000337293
ANTHEM BC/BS
KY
01
—
1218942
CHA HEALTH
KY
05
—
88000583
—
KY
Enumeration date
03/09/2006
Last updated
09/29/2016
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