Keen, Christie Marie
Keen, Christie Marie is an individual health care provider with primary practice located at 6800 State Route 162 , Maryville IL 62062-8521. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Keen, Christie Marie can be contacted via phone (618) 288-5711.Contact Information
Primary practice address
6800 State Route 162
Maryville IL 62062-8521
Phone: (618) 288-5711
Fax: (618) 288-4088
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 2019002366 | Missouri |
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 209019392 | Illinois |
Profile Details
NPI number | 1023577442 |
---|---|
LBN Legal business name | Keen, Christie Marie |
Credentials | Nurse Practitioner (NP) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 15th, 2019 |
Last updated | Oct 19th, 2021 - 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.
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