Provider Demographics
NPI:1437772738
Name:KEY RECOVERY SOLUTIONS, LLC
Entity Type:Organization
Organization Name:KEY RECOVERY SOLUTIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:TERRY
Authorized Official - Middle Name:
Authorized Official - Last Name:SCOTT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:859-230-2915
Mailing Address - Street 1:1684 BALLARD RD
Mailing Address - Street 2:
Mailing Address - City:LAWRENCEBURG
Mailing Address - State:KY
Mailing Address - Zip Code:40342-9309
Mailing Address - Country:US
Mailing Address - Phone:859-230-2915
Mailing Address - Fax:859-488-7448
Practice Address - Street 1:6487 KY HIGHWAY 476
Practice Address - Street 2:
Practice Address - City:BULAN
Practice Address - State:KY
Practice Address - Zip Code:41722-8717
Practice Address - Country:US
Practice Address - Phone:859-230-2915
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-20
Last Update Date:2020-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KYPENDINGMedicaid