MRS. ALICIA BOUDREAUX KEENHOLD RN NPI 1093852675

NPI Information

NPI: 1093852675
Provider Name: MRS. ALICIA BOUDREAUX KEENHOLD, RN
Classification: Registered Nurse - 163WP0809X
Entity Type: Individual

Specialization: Psychiatric/Mental Health, Adult

Address:
124 MALLARD ST
GREENVILLE, SC
ZIP 29601
Phone: (864) 241-1040
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MRS. Alicia Boudreaux Keenhold, RN is a psychiatric/mental health and adult registered nurse in Greenville, SC. MRS. Alicia Boudreaux Keenhold, RN NPI is 1093852675. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

124 MALLARD ST
GREENVILLE, SC
ZIP 29601
Phone: (864) 241-1040

The enumeration date for this NPI number is 1/31/2007 and was last updated on 8/16/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163WP0809X	Registered Nurse	Psychiatric/Mental Health, Adult	115451	LOUISIANA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	115451	OTHER	LOUISIANA	NURSING

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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