Keene, William Matthew

Keene, William Matthew is an individual health care provider with primary practice located at 1203 American Greeting Rd , Corbin KY 40701-4811. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Keene, William Matthew can be contacted via phone (606) 528-7010.

Contact Information

Primary practice address
1203 American Greeting Rd Corbin KY 40701-4811
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 1690 Kentucky

Profile Details

NPI number 1639396625
LBN Legal business name Keene, William Matthew
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 19th, 2007
Last updated Oct 27th, 2015 - about 10 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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Identifiers

StateTypeNumberIssuer
All States NPI 1639396625 NPPES
Kentucky MEDICAID 7100288040

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