Provider Demographics
NPI:1285073106
Name:KEEN, KRISTI (CD(DONA))
Entity type:Individual
Prefix:
First Name:KRISTI
Middle Name:
Last Name:KEEN
Suffix:
Gender:F
Credentials:CD(DONA)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3419 FOUNTAINS DR
Mailing Address - Street 2:APT 1410
Mailing Address - City:ROSENBERG
Mailing Address - State:TX
Mailing Address - Zip Code:77471-8793
Mailing Address - Country:US
Mailing Address - Phone:225-229-4130
Mailing Address - Fax:
Practice Address - Street 1:3419 FOUNTAINS DR
Practice Address - Street 2:APT 1410
Practice Address - City:ROSENBERG
Practice Address - State:TX
Practice Address - Zip Code:77471-8793
Practice Address - Country:US
Practice Address - Phone:225-229-4130
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-25
Last Update Date:2013-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula