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MRS. BRANDE LYNN KEEN KCSA
Certified First Assistant >> Specialist/Technologist, Other >> Technologists, Technicians & Other Technical Service ProvidersRegistrant NPI Number: 1326226713
Individual Registrant:MRS. BRANDE LYNN KEEN KCSA
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
7801 RED SKY DR NE LANESVILLE, IN 47136-8782 US
Tel: 812-736-7743 Fax: --
Tel: 812-736-7743 Fax: --
Contact information for business:
100 E LIBERTY ST STE 800 LOUISVILLE, KY 40202-1428 US
Tel: 502-540-3341 Fax: 502-540-3393
Tel: 502-540-3341 Fax: 502-540-3393
Registration Information:
NPI: 1326226713
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 246ZC0007X | Technologists, Technicians & Other Technical Service Providers Specialist/Technologist, Other Certified First Assistant | KY | SA171 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
