Keenan James Pacut
Keenan James Pacut is a Community/Behavioral Health Agency in Fort Valley, Georgia. Practices as a sole proprietor. Registered with an NPI since 2020.
- In the registry since
- 2020
Practice location Address checks out
410 E Church StFort Valley, GA 31030-3097
Phone: (229) 938-7274
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Specialties & licences
| Community/Behavioral Health Agency (primary) | Taxonomy 251S00000X |
|---|
Record details
| NPI number | 1013540160 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | February 18, 2020 |
| Last updated in NPPES | February 18, 2020 |
| Certification date | February 18, 2020 |
| Mailing address | 410 E Church St, Fort Valley, GA 31030-3097 |
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