Keenan Willoughby
Respiratory Therapist, Registered, Home Health in Lumberton, NC. Individual provider (NPI-1).
NPI number1982141685
StatusActive
Last updated in NPPESJan 19, 2017
Details
- NPI
- 1982141685
- Entity type
- Individual (NPI-1)
- Name
- Keenan Willoughby
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 19, 2017
- Last updated
- Jan 19, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2279H0200X | Respiratory Therapist, Registered, Home Health | A2439 | NC | Yes |
Practice location
1105 E 9th StLumberton, NC 28358-5025
Phone 910-736-7330
Mailing address
1105 E 9th StLumberton, NC 28358-5025
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