Individual
KEITH SWEENEY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
254 GAUZE HOLW, PILGRIM, KY 41250-9071
(865) 304-3593
Mailing address
254 GAUZE HOLW, PILGRIM, KY 41250-9071
(865) 304-3593
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
BACB1128284
KY
Other
Enumeration date
05/06/2026
Last updated
05/06/2026
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