Provider Demographics
NPI:1942513718
Name:KEATON, SARA MARIE (RN)
Entity Type:Individual
Prefix:
First Name:SARA
Middle Name:MARIE
Last Name:KEATON
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6934 EGYPT PIKE
Mailing Address - Street 2:
Mailing Address - City:CHILLICOTHE
Mailing Address - State:OH
Mailing Address - Zip Code:45601-9077
Mailing Address - Country:US
Mailing Address - Phone:740-851-4044
Mailing Address - Fax:
Practice Address - Street 1:6934 EGYPT PIKE
Practice Address - Street 2:
Practice Address - City:CHILLICOTHE
Practice Address - State:OH
Practice Address - Zip Code:45601-9077
Practice Address - Country:US
Practice Address - Phone:740-851-4044
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-21
Last Update Date:2010-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN.362145163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health