Keenan Haug
Technician, Other in Juneau, AK. Individual provider (NPI-1).
NPI number1174164792
StatusActive
Last updated in NPPESOct 4, 2019
Details
- NPI
- 1174164792
- Entity type
- Individual (NPI-1)
- Name
- Keenan Haug
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 4, 2019
- Last updated
- Oct 4, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 247200000X | Technician, Other | – | – | Yes |
Practice location
2075 Jordan AveJuneau, AK 99801-8095
Phone 907-789-7610
Mailing address
8498 Valley BlvdJuneau, AK 99801-9152
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