Individual
KEITH JAMES HAYES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
3100 BROADWAY ST, KANSAS CITY, MO 64111-2658
(816) 753-2007
Mailing address
3100 BROADWAY, KANSAS CITY, MO 64111-2448
(816) 753-2007
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
2013012337
MO
101YM0800X
Mental Health Counselor
Primary
6460
KS
Other
Enumeration date
04/15/2010
Last updated
06/04/2013
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