Stacy Keener

NPI #1992215305 in Clovis, New Mexico

Provider Information

NPI Number: 1992215305
Entity Type: Individual
Name: Stacy Keener
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Case Manager/Care Coordinator
Enumeration Date: Oct 11, 2017
Last Updated: Oct 11, 2017

Practice Location

Address: 1100 W 21ST ST
City: Clovis
State: New Mexico
ZIP Code: 88101-4151
Phone: (575) 769-2345

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Manager/Care Coordinator	171M00000X	Primary

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