Provider Demographics
NPI:1700281466
Name:KEATON, APRIL (SLP)
Entity Type:Individual
Prefix:MRS
First Name:APRIL
Middle Name:
Last Name:KEATON
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5229 APPOMATTOX RD
Mailing Address - Street 2:
Mailing Address - City:PLEASANT GARDEN
Mailing Address - State:NC
Mailing Address - Zip Code:27313-8202
Mailing Address - Country:US
Mailing Address - Phone:336-674-2252
Mailing Address - Fax:
Practice Address - Street 1:5229 APPOMATTOX RD
Practice Address - Street 2:
Practice Address - City:PLEASANT GARDEN
Practice Address - State:NC
Practice Address - Zip Code:27313-8202
Practice Address - Country:US
Practice Address - Phone:336-674-2252
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-10-23
Last Update Date:2014-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC9513235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist