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1588200661
KAITLYN A KEENAN
WEST COLUMBIA, SC
NPI
1588200661
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: SC 23322)
Enumeration Date
2019-11-22
Last Update Date
2020-11-09
Business Address
Mrs. KAITLYN A KEENAN NP-C
2728 SUNSET BLVD STE 300
WEST COLUMBIA, SC 29169-4815
Phone number: 803-744-4940
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Mailing Address
Mrs. KAITLYN A KEENAN NP-C
PO BOX 6069
WEST COLUMBIA, SC 29171-6069
Phone number:
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