Individual
MR. KEITH S FECK
Active
Individual
MR. KEITH S FECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, LPA
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0079
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30615058
—
KY
Enumeration date
01/09/2007
Last updated
11/17/2010
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