Keith Stallings

NPI 1700192457 - Counselor - 101Y00000X

NPI Details
NPI 1700192457
Gender Male
Enumeration Date 08/19/2010
Last Updated 06/09/2011
Entity Type Individual
Active Over 6 years ago
Practice Location
130 S JOE B HALL AVE
SHEPHERDSVILLE KY, 40165-0690, US
Phone (502) 589-8600
Fax (502) 589-8771
Business Location
101 W MUHAMMAD ALI BLVD
LOUISVILLE KY, 40202-1423, US
Phone
Fax
Toxanomy
Taxonomy Code 101Y00000X
License State
License Number
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According to our database, Keith Stallings NPI is 1700192457, taxonomy code is 101Y00000X Keith Stallings physically located at 130 S Joe B Hall Ave, Shepherdsville KY, 40165-0690. NPI Number Keith Stallings has the Individual type.

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1700192457 NPI number is provided on an as is basis without warranty of any kind. 1700192457 is maintained by the National Plan & Provider Enumeration System. The contents of Keith Stallings are for informational purposes only.