NPI 1104550300
Austin Keenan
Practice location
- Address
- 1103 Old Town Ln, Cheyenne, WY 82009-4353
- Phone
- (307) 365-4460
Registered specialties
Peer Specialist
Primary
Registry record
- NPI
- 1104550300
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 13 Jul 2022
- Record last updated
- 13 Jul 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.