Keener, Jillian
Keener, Jillian is an individual health care provider with primary practice located at 3200 Maccorkle Ave Se , Charleston WV 25304-1227. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Keener, Jillian can be contacted via phone (304) 388-1000.Contact Information
Primary practice address
3200 Maccorkle Ave Se
Charleston WV 25304-1227
Phone: (304) 388-1000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 1263 | West Virginia |
Profile Details
| NPI number | 1710265004 |
|---|---|
| LBN Legal business name | Keener, Jillian |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 3rd, 2011 |
| Last updated | Feb 9th, 2021 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1710265004 | NPPES |
| Kentucky | MEDICAID | 30610026 |
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