Banta, Keith

Banta, Keith is an sole proprietor health care provider with primary practice located at 3430 Newburg Rd Suite 212, Louisville KY 40218-2497. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Banta, Keith can be contacted via phone (502) 454-8800.

Contact Information

Primary practice address
3430 Newburg Rd Suite 212 Louisville KY 40218-2497
Phone: (502) 454-8800
Fax: (502) 736-0140
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 1194 Kentucky

Profile Details

NPI number 1861547218
LBN Legal business name Banta, Keith
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 24th, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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