Hollis-Keene, Cynthia Lynn

Hollis-Keene, Cynthia Lynn is an individual health care provider with primary practice located at 1540 E Evergreen St , Springfield MO 65803-4300. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Hollis-Keene, Cynthia Lynn can be contacted via phone (417) 823-2900.

Contact Information

Primary practice address
1540 E Evergreen St Springfield MO 65803-4300
Phone: (417) 823-2900
Fax: (417) 886-2774
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 154542 Missouri
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 2015003170 Missouri

Profile Details

NPI number 1396067906
LBN Legal business name Hollis-Keene, Cynthia Lynn
Credentials PMHNP
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 23rd, 2010
Last updated Dec 30th, 2020 - about 4 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396067906 NPPES
Missouri MEDICAID 1396067906

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