KEEGAN CLARK

Nurse's Aide

Active Individual
NPI: 1457002750

Practice Address

1135 N H ST
Broken Bow, NE 68822

Phone: (308) 872-2982

Specialties

Specialty Code Primary License
Nurse's Aide 376K00000X Yes -

Frequently Asked Questions

NPI 1457002750 is the National Provider Identifier for KEEGAN CLARK, a Nurse's Aide provider located in Broken Bow, NE. This NPI was enumerated on January 18, 2022.
KEEGAN CLARK practices at 1135 N H ST, Broken Bow, NE 68822.

Quick Facts

NPI
1457002750
Type
Individual
Enumerated
Jan 18, 2022
Last Updated
Jan 18, 2022

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