Keenhold, Alicia Boudreaux

Keenhold, Alicia Boudreaux is an individual health care provider with primary practice located at 124 Mallard St , Greenville SC 29601. She recently has only one registered license in Nursing Service Providers / Psychiatric/Mental Health, Adult, which is considered as her primary health care specialty. Keenhold, Alicia Boudreaux can be contacted via phone (864) 241-1040.

Contact Information

Primary practice address
124 Mallard St Greenville SC 29601
Phone: (864) 241-1040
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health, Adult 163WP0809X 115451 Louisiana

Profile Details

NPI number 1093852675
LBN Legal business name Keenhold, Alicia Boudreaux
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 31st, 2007
Last updated Aug 16th, 2018 - about 6 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 1093852675 NPPES
Louisiana Other 115451 NURSING

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