Provider Demographics
NPI:1780407833
Name:KEYS, PAUL JAY II (BS)
Entity type:Individual
Prefix:MR
First Name:PAUL
Middle Name:JAY
Last Name:KEYS
Suffix:II
Gender:M
Credentials:BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:71 CONN ST
Mailing Address - Street 2:
Mailing Address - City:IVEL
Mailing Address - State:KY
Mailing Address - Zip Code:41642-9406
Mailing Address - Country:US
Mailing Address - Phone:606-309-0031
Mailing Address - Fax:
Practice Address - Street 1:28 MOSSY BOTTOM FIRST ST
Practice Address - Street 2:
Practice Address - City:PIKEVILLE
Practice Address - State:KY
Practice Address - Zip Code:41501-2928
Practice Address - Country:US
Practice Address - Phone:606-309-0031
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-11-06
Last Update Date:2024-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker