Provider Demographics
NPI:1346699568
Name:LAYFIELD, KEELEY (AUD)
Entity Type:Individual
Prefix:
First Name:KEELEY
Middle Name:
Last Name:LAYFIELD
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4433 HIGHWAY 167
Mailing Address - Street 2:
Mailing Address - City:DUBACH
Mailing Address - State:LA
Mailing Address - Zip Code:71235-3214
Mailing Address - Country:US
Mailing Address - Phone:318-229-8203
Mailing Address - Fax:
Practice Address - Street 1:2802 KILPATRICK BLVD
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:LA
Practice Address - Zip Code:71201-5139
Practice Address - Country:US
Practice Address - Phone:318-855-6282
Practice Address - Fax:318-855-6424
Is Sole Proprietor?:No
Enumeration Date:2016-06-08
Last Update Date:2019-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist