Most Relevant Information
Provider Data
| NPI Number: | 1003587015 |
| Provider Name: | KATELYN KEENAN RN |
| Entity Type: | Individual |
| Taxonomy Code: | 163W00000X |
| Specialty: | Registered Nurse |
| License Number: | 372482 |
Most Important Dates
| Enumeration Date: | 09/21/2021 |
| Last Updated: | 09/21/2021 |
Provider Practice Location
735 N WATER ST
UHRICHSVILLE
OH
446831455
Practice Location Phone/Fax
| Phone: | 7409227587 |
| Fax: |
Provider Mailing Location
1903 TOWNSHIP ROAD 220
BLOOMINGDALE
OH
439107844
Provider Mailing Phone/Fax
| Phone: | 7407654599 |
| Fax: |