Keene, Brenda S.

Keene, Brenda S. is an sole proprietor health care provider with primary practice located at 1227 W Emmy Ct , Kuna ID 83634-3028. She recently has only one registered license in Nursing & Custodial Care Facilities / Adult Care Home, which is considered as her primary health care specialty. Keene, Brenda S. can be contacted via phone (208) 922-3000.

Contact Information

Primary practice address
1227 W Emmy Ct Kuna ID 83634-3028
Fax: (208) 922-3384
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Adult Care Home 311ZA0620X 40434 Idaho

Profile Details

NPI number 1528184595
LBN Legal business name Keene, Brenda S.
Credentials CFH
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 22nd, 2007
Last updated Jul 9th, 2007 - about 17 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 1528184595 NPPES
Idaho MEDICAID 0189359

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