Keeton, Kimly

Keeton, Kimly is an sole proprietor health care provider with primary practice located at 809 Jefferson Ave , La Porte IN 46350-3431. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Keeton, Kimly can be contacted via phone (219) 898-5646.

Contact Information

Primary practice address
809 Jefferson Ave La Porte IN 46350-3431
Phone: (219) 898-5646
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 87001395A Indiana
Behavioral Health & Social Service Providers / Clinical 1041C0700X 34006482A Indiana

Profile Details

NPI number 1548650930
LBN Legal business name Keeton, Kimly
Credentials LCSW, LCAC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 23rd, 2015
Last updated Mar 3rd, 2016 - about 8 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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