| Blair Keener Lcsw Llc | |
|
5702 Olohena Rd Kapaa HI 96746-8808 | |
| (808) 651-7465 | |
| Not Available |
| Full Name | Blair Keener Lcsw Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 5702 Olohena Rd, Kapaa, Hawaii |
| Authorized Official Name and Position | Blair Keener (OWNER / SOLE MEMBER) |
| Authorized Official Contact | 8086517465 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blair Keener Lcsw Llc Po Box 1923 Kapaa HI 96746-5923 Ph: (808) 651-7465 | Blair Keener Lcsw Llc 5702 Olohena Rd Kapaa HI 96746-8808 Ph: (808) 651-7465 |
| NPI Number | 1316687247 |
|---|---|
| Provider Enumeration Date | 03/30/2022 |
| Last Update Date | 03/30/2022 |
| Certification Date | 03/30/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316687247 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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