Individual
KEITH LANCASTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
506 BOALES ST, HOPKINSVILLE, KY 42240-2303
(270) 887-5099
(270) 887-6099
Mailing address
PO BOX 614, HOPKINSVILLE, KY 42241-0614
(270) 886-2205
(270) 886-0392
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/13/2017
Last updated
11/13/2017
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