Provider Demographics
NPI:1346584554
Name:KEFFER, KATHY SUE (MA)
Entity Type:Individual
Prefix:MRS
First Name:KATHY
Middle Name:SUE
Last Name:KEFFER
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2080 SHYVILLE RD
Mailing Address - Street 2:
Mailing Address - City:PIKETON
Mailing Address - State:OH
Mailing Address - Zip Code:45661-9118
Mailing Address - Country:US
Mailing Address - Phone:740-542-9199
Mailing Address - Fax:
Practice Address - Street 1:2080 SHYVILLE RD
Practice Address - Street 2:
Practice Address - City:PIKETON
Practice Address - State:OH
Practice Address - Zip Code:45661-9118
Practice Address - Country:US
Practice Address - Phone:740-542-9199
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-11-12
Last Update Date:2013-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health