Provider Demographics
NPI:1669860789
Name:KEYS, KAREN
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:
Last Name:KEYS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1500 LEESTOWN RD STE 338
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40511-2047
Mailing Address - Country:US
Mailing Address - Phone:859-317-8295
Mailing Address - Fax:859-317-8410
Practice Address - Street 1:1500 LEESTOWN RD STE 338
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40511-2047
Practice Address - Country:US
Practice Address - Phone:859-317-8295
Practice Address - Fax:859-317-8410
Is Sole Proprietor?:No
Enumeration Date:2014-12-23
Last Update Date:2014-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYKY3588225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist