Individual
MR. KEITH DEROME BARBOUR SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
341 PREAKNESS DR, 341 PREAKNESS DR, LEXINGTON, KY 40516-9667
(859) 551-6615
Mailing address
341 PREAKNESS DR, 341 PREAKNESS DR, LEXINGTON, KY 40516-9667
(859) 551-6615
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
—
KY
372500000X
Chore Provider
—
KY
372600000X
Adult Companion
Primary
—
KY
Other
Enumeration date
09/05/2025
Last updated
09/05/2025
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