Mr Shawn E Keenan, | |
125b Big Sink Rd, Versailles, KY 40383-1558 | |
(859) 253-1686 | |
(259) 254-2743 |
Full Name | Mr Shawn E Keenan |
---|---|
Gender | Male |
Speciality | Counselor - Professional |
Location | 125b Big Sink Rd, Versailles, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1649440389 | NPI | - | NPPES |
30615058 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 0966 (Kentucky) | Primary |
Entity Name | Extended Care Specialists, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134146079 PECOS PAC ID: 2466407713 Enrollment ID: O20190703001141 |
Entity Name | Eventus Wholehealth Midwest Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1386252757 PECOS PAC ID: 4183040470 Enrollment ID: O20211217001894 |
Mailing Address | Practice Location Address |
---|---|
Mr Shawn E Keenan, 1351 Newtown Pike, Lexington, KY 40511-1217 Ph: (859) 253-1686 | Mr Shawn E Keenan, 125b Big Sink Rd, Versailles, KY 40383-1558 Ph: (859) 253-1686 |
Mrs. Heather Godwin Kirkland, MS, LPCC-S, JSOCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4185 Lexington Rd, Versailles, KY 40383 Phone: 859-873-9277 | |
Christopher D Humphrey, LPCC Counselor Medicare: Medicare Enrolled Practice Location: 830 Tyrone Pike, Versailles, KY 40383 Phone: 844-435-0900 Fax: 270-858-4029 | |
Miss Alyssa P. Vitali, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 460 Wilson Ave, Versailles, KY 40383 Phone: 859-753-6626 Fax: 859-787-0552 | |
Mrs. Veronica Jo Singleton, MA LPCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 220 Frankfort St Ste 1, Versailles, KY 40383 Phone: 859-753-7196 Fax: 859-214-4498 | |
Charlene Williams, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4185 Lexington Rd, Versailles, KY 40383 Phone: 859-873-9277 Fax: 859-873-9280 | |
Matthew Fowler, M.A. LPCC-S Counselor Medicare: Not Enrolled in Medicare Practice Location: 220 Frankfort St Ste 1, Versailles, KY 40383 Phone: 859-753-7196 Fax: 859-214-4498 | |
Amber Kristin Hord-helme, MA LPCC Counselor Medicare: Medicare Enrolled Practice Location: 220 Frankfort St Ste 1, Versailles, KY 40383 Phone: 859-753-7196 Fax: 859-214-4498 |