Provider Demographics
NPI:1376790832
Name:KEEN, JANICE R (BCHIS)
Entity Type:Individual
Prefix:
First Name:JANICE
Middle Name:R
Last Name:KEEN
Suffix:
Gender:F
Credentials:BCHIS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3364 HOLLOWAY LN
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:KY
Mailing Address - Zip Code:42420-9291
Mailing Address - Country:US
Mailing Address - Phone:270-854-4019
Mailing Address - Fax:270-854-4019
Practice Address - Street 1:8080 HIGH POINTE DR
Practice Address - Street 2:
Practice Address - City:NEWBURGH
Practice Address - State:IN
Practice Address - Zip Code:47630-3026
Practice Address - Country:US
Practice Address - Phone:270-339-7836
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-26
Last Update Date:2009-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN17001293A237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist