Individual
WILLIAM MATTHEW KEENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1203 AMERICAN GREETING RD, CORBIN, KY 40701-4811
(606) 528-7010
Mailing address
PO BOX 568, CORBIN, KY 40702-0568
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1690
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100288040
—
KY
Enumeration date
04/19/2007
Last updated
10/27/2015
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