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1003215740
KEITH MCKENZIE
LOUISVILLE, KY
NPI
1003215740
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: KY 0656)
Enumeration Date
2014-08-19
Last Update Date
2017-10-31
Business Address
KEITH MCKENZIE CADC
332 W BROADWAY STE 905
LOUISVILLE, KY 40202-2133
Phone number: 502-587-9737
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Mailing Address
KEITH MCKENZIE CADC
332 W BROADWAY STE 905
LOUISVILLE, KY 40202-2133
Phone number: 502-587-9737
Copy
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