Individual provider · Type 1 NPI
Panda Keener, N.P.
Family Nurse Practitioner · Sugar Valley, GA
NPI number
1770968786
Active
Practice location
3090 Sugar Valley Rd
Sugar Valley, GA 30746
Fax (706) 624-4698
Mailing address
Cigna Onsite Health Llc, 25500 N Norterra Dr
Phoenix, AZ 85085
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | RN222731 (GA) |
Family Nurse Practitioner: Definition to come...
About NPI 1770968786
Panda Keener, N.P.'s National Provider Identifier is 1770968786, issued on Jul 21, 2015. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Sugar Valley, GA. The record was last updated on Dec 20, 2017.