Amanda Sue Keen

Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Rock Springs, WY

NPI 1063372290 · NPPES record last updated Nov 12, 2025

Key facts

NPI
1063372290
Entity type
Individual (NPI type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
Practice address
20 Cattle Dr
Rock Springs, WY 82901-6798
Phone
(307) 264-9204
NPI assigned
Nov 12, 2025
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Yes

Addresses

Primary practice location

20 Cattle Dr
Rock Springs, WY 82901-6798

Mailing address

20 Cattle Dr
Rock Springs, WY 82901-6798
Phone (307) 264-9204

Other providers in Rock Springs, WY

All providers in Rock Springs, WY · Student in an Organized Health Care Education/Training Program in Wyoming

Sources for this page

Verify at the official NPI Registry.