Erica Lorraine Keen, AA is a
Technician, Pathology - Phlebotomy based in Fairbanks, Alaska. Erica Lorraine Keen is licensed to practice in Alaska (license number 36334) and her current practice location is
3830 S Cushman St, Fairbanks, Alaska. She can be reached at her office (for appointments etc.) via phone at
(907) 452-1575.
NPI number for Erica Lorraine Keen is 1790093417 and her current mailing address is 545 Wild Horse Ln, Fairbanks, Alaska. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1790093417.
Healthcare Provider's Profile
| Full Name | Erica Lorraine Keen |
|---|
| Gender | Female |
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| Speciality | Technician, Pathology - Phlebotomy |
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| Location | 3830 S Cushman St, Fairbanks, Alaska |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1790093417
- Provider Enumeration Date: 09/15/2010
- Last Update Date: 09/15/2010
Medical Identifiers
Medical identifiers for Erica Lorraine Keen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1790093417 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 246RP1900X | Technician, Pathology - Phlebotomy | 36334 (Alaska) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Erica Lorraine Keen is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Erica Lorraine Keen, AA
545 Wild Horse Ln,
Fairbanks, AK 99709-6700
Ph: (907) 590-0689 | Erica Lorraine Keen, AA
3830 S Cushman St,
Fairbanks, AK 99701-7530
Ph: (907) 452-1575 |
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