Individual
LINDA KEITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CASE MANAGER
Contact information
Practice address
118 W UNION ST, MUNFORDVILLE, KY 42765-8911
(270) 524-9883
(270) 524-0437
Mailing address
PO BOX 33, SCOTTSVILLE, KY 42164-0033
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
27004019
—
KY
Enumeration date
10/23/2007
Last updated
10/26/2007
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