Individual
F. KEITH PAGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
227 SAINT ANN ST, SUITE 101, OWENSBORO, KY 42303-4197
(270) 684-7239
(270) 684-7239
Mailing address
PO BOX 22523, OWENSBORO, KY 42304-2523
(270) 684-7239
(270) 684-7239
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0419
KY
106H00000X
Marriage & Family Therapist
KY 0419
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000389207
ANTHEM PIN
KY
Enumeration date
06/23/2006
Last updated
08/24/2007
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