Keenan James Pacut
NPI #1013540160 in Fort Valley, Georgia
Provider Information
- NPI Number
- 1013540160
- Entity Type
- Individual
- Name
- Keenan James Pacut
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Feb 18, 2020
- Last Updated
- Feb 18, 2020
Practice Location
- Address
- 410 E CHURCH ST
- City
- Fort Valley
- State
- Georgia
- ZIP Code
- 31030-3097
- Phone
- (229) 938-7274
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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