Individual
CHARLES KEELING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
11840 COMMONWEALTH DR, LOUISVILLE, KY 40299-2309
(502) 203-1918
Mailing address
90 HOWARD DR, SHELBYVILLE, KY 40065-8138
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
291928
KY
Other
Enumeration date
06/14/2024
Last updated
06/14/2024
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