| NPI | 1114295789 |
|---|---|
| Other Name | AMY DEE-LYTE KEENE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NC 2286) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: VA 0618002153) |
| 152W00000X Optometrist (Licence: TN 3007) | |
| 152W00000X Optometrist (Licence: WV 2055-IOD) | |
| Enumeration Date | 2011-12-09 |
| Last Update Date | 2022-11-25 |