NPI 1003215740

Keith McKenzie, CADC

Practitioner Addiction (Substance Use Disorder) Counselor Louisville, KY

Practice location

Address: 332 W Broadway STE 905, Louisville, KY 40202-2133
Phone: (502) 587-9737

Registered specialties

Addiction (Substance Use Disorder) Counselor Primary

Behavioral Health & Social Service Providers Taxonomy 101YA0400X Licence 0656 (KY)

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Registry record

NPI: 1003215740
Entity type: Individual
Sex (as registered): Male
NPI issued: 19 Aug 2014
Record last updated: 31 Oct 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.