Provider Information for 1174277933
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Dr. KEVIN KEATING LMHC, Ph.D.
Sex: Male
NPI: 1174277933
Last Updated: 2022-02-09
Certification Date: 2022-02-09
Certification Date: 2022-02-09
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1174277933 | ||||||||
| Enumeration Date | 2022-02-09 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 18459 PINES BLVD # 153 PEMBROKE PINES, FL 33029-1400 United States Phone: 954-854-1902 | Fax: | ||||||||
| Primary Practice Address | 2121 HARBOR WAY WESTON, FL 33326-2345 United States Phone: 954-854-1902 | Fax: | ||||||||
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