# KEA,INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1669654547
- **Authorized official:** MR. KERRY JEFFERSON SCOTT LPC (CHIEF OPERATING OFFICER)
- **Authorized official phone:** (318) 651-9363

## Contact information

- **Practice address:** 2911 CAMERON ST, MONROE, LA 71201-3713
- **Practice address phone:** (318) 651-9363
- **Practice address fax:** (318) 651-9251
- **Mailing address:** 2911 CAMERON ST, MONROE, LA 71201-3713
- **Mailing address phone:** (318) 651-9363
- **Mailing address fax:** (318) 651-9251

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302R00000X | Health Maintenance Organization | 1476021 | LA | Yes |

## Other

- **Enumeration date:** 12/03/2007
- **Last updated:** 12/03/2007