Keithley, Blake

Keithley, Blake is an sole proprietor health care provider with primary practice located at 2325 Q St , Bedford IN 47421-4718. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Keithley, Blake can be contacted via phone (812) 279-4673.

Contact Information

Primary practice address
2325 Q St Bedford IN 47421-4718
Phone: (812) 279-4673
Fax: (812) 279-4672
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1871867945
LBN Legal business name Keithley, Blake
Credentials M.S ED.S
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 6th, 2012
Last updated Mar 6th, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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