Individual
ELIZABETH SHEALYN KEENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4341 B ST, SUITE 100, ANCHORAGE, AK 99503-5927
(907) 770-0862
Mailing address
12660A OLD GLENN HWY, EAGLE RIVER, AK 99577-7007
(907) 301-6564
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
6112
AK
Other
Enumeration date
03/18/2008
Last updated
03/18/2008
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