Keon, Kimberly Louise

Keon, Kimberly Louise is an sole proprietor health care provider with primary practice located at 350 Indian Boundary Rd , Chesterton IN 46304-1511. 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 / Mental Health. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Keon, Kimberly Louise can be contacted via phone (219) 308-1570.

Contact Information

Primary practice address
350 Indian Boundary Rd Chesterton IN 46304-1511
Phone: (219) 308-1570
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 87900033A Indiana
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 88001118A Indiana

Profile Details

NPI number 1134865322
LBN Legal business name Keon, Kimberly Louise
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 10th, 2022
Last updated May 10th, 2022 - about 3 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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