Search › Indiana › 1041C0700X
Kimly Keeton, LCSW, LCAC
NPI 1548650930 · on the registry since 2015 · sole proprietor
Practice
- Address
- 809 Jefferson Ave
La Porte, IN 46350 - Phone
- (219) 898-5646
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 101YA0400X
- Licence states on file
- IN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2016-03-03
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana