Provider Demographics
NPI:1336519834
Name:KEY SEATING & MOBILITY, LLC
Entity Type:Organization
Organization Name:KEY SEATING & MOBILITY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SEAN
Authorized Official - Middle Name:ROBERT
Authorized Official - Last Name:KIEPERT
Authorized Official - Suffix:
Authorized Official - Credentials:ATP, RRTS
Authorized Official - Phone:419-357-6060
Mailing Address - Street 1:2016 E PERKINS AVE
Mailing Address - Street 2:SUITE D
Mailing Address - City:SANDUSKY
Mailing Address - State:OH
Mailing Address - Zip Code:44870-5129
Mailing Address - Country:US
Mailing Address - Phone:419-202-2462
Mailing Address - Fax:866-443-6788
Practice Address - Street 1:2016 E PERKINS AVE STE D
Practice Address - Street 2:
Practice Address - City:SANDUSKY
Practice Address - State:OH
Practice Address - Zip Code:44870-5129
Practice Address - Country:US
Practice Address - Phone:419-357-6060
Practice Address - Fax:866-443-6788
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-28
Last Update Date:2016-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0145067Medicaid
OH0145067Medicaid