Alicia Boudreaux Keenhold, RN
Registered Nurse, Psych/Mental Health, Adult in Greenville, SC. Individual provider (NPI-1).
NPI number1093852675
StatusActive
Last updated in NPPESAug 16, 2018
Details
- NPI
- 1093852675
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Alicia Boudreaux Keenhold
- Credential
- RN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 31, 2007
- Last updated
- Aug 16, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WP0809X | Registered Nurse, Psych/Mental Health, Adult | 115451 | LA | Yes |
Practice location
124 Mallard StGreenville, SC 29601
Phone 864-241-1040
Mailing address
124 Mallard StGreenville, SC 29601-4046
Phone 864-241-1040
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