Keegan Alexander, LPN
Individual provider Active NPI Licensed Practical Nurse · Lilburn, GA
NPI 1245802073 · NPPES record last updated Sep 27, 2021
Key facts
- NPI
- 1245802073
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- 070606 (GA)
- Practice address
- 4305 Paxton LN SW Apt 809
Lilburn, GA 30047-8401 - Phone
- (678) 599-4051
- NPI assigned
- Jul 12, 2021
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070606 | GA | MD | Licensed Practical Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Select Nursing LLC | Current |
Accepting new patients | |
| Select Nursing Co Limited LTD | Current | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 070606 | GA | Yes |
Addresses
Primary practice location
4305 Paxton LN SW Apt 809
Lilburn, GA 30047-8401
Mailing address
4305 Paxton LN SW Apt 809
Lilburn, GA 30047-8401
Phone (678) 599-4051
Other providers in Lilburn, GA
- Aksharmurti LLC Dba/ Emory Adult Day Health Care
- Rebecca Ayaw Alabi
- Alain Emmanuel Therapy LLC
- Alan C. Tucker, D.D.S., P.C.
- Rebecca G Alcoba
- Lubna Ali
- Sana Ali
- Alice'S Psychiatry & Wellness, LLC
- All and All Behavioral Health Services LLC
- All Cities Transportation
All providers in Lilburn, GA · Licensed Practical Nurse in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 27, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.