Clark, Keegan

Clark, Keegan is an individual health care provider with primary practice located at 1135 N H St , Broken Bow NE 68822-1262. He recently has only one registered license in Nursing Service Related Providers / Nurse's Aide, which is considered as his primary health care specialty. Clark, Keegan can be contacted via phone (308) 872-2982.

Contact Information

Primary practice address
1135 N H St Broken Bow NE 68822-1262
Phone: (308) 872-2982
Fax: (308) 872-6349
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Nurse's Aide 376K00000X

Profile Details

NPI number 1457002750
LBN Legal business name Clark, Keegan
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 18th, 2022
Last updated Jan 18th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers