Individual
DANA KEENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
10628 PARK RD, CHARLOTTE, NC 28210-8407
(704) 512-5363
Mailing address
PO BOX 19305, CHARLOTTE, NC 28219-9305
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5004168
NC
Other
Enumeration date
01/07/2009
Last updated
01/18/2022
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