NPI 1043939218
Tammy Keenum, LPN
Practice location
- Address
- 295 Hospital St, Moulton, AL 35650-1210
- Phone
- (256) 974-6697
- Fax
- (256) 355-6092
- Mailing address
- 1316 Somerville Rd SE STE 1, Decatur, AL 35601-4309
Registered specialties
Licensed Practical Nurse
Primary
Registry record
- NPI
- 1043939218
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 23 Aug 2022
- Record last updated
- 23 Aug 2022
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.