Individual provider · Type 1 NPI

Emily Keen, NP

Gerontology Nurse Practitioner · Grand Rapids, MI

NPI number 1588064638 Active

Practice location

200 Jefferson Ave SE, 5th Floor
Grand Rapids, MI 49503-4502

Mailing address

1900 44th St SE
Kentwood, MI 49508-5008

Specialties and licenses

TaxonomyCodeLicense
Gerontology Nurse Practitioner Primary 363LG0600X4704310718 (MI)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1588064638

Emily Keen, NP's National Provider Identifier is 1588064638, issued on Aug 26, 2014. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Grand Rapids, MI. The record was last updated on Jan 30, 2015.