KEITH E BROCKMAN

LEXINGTON, KY
NPI1548301286
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: KY  3012)
Enumeration Date2007-02-08
Last Update Date2007-07-09
Business Address
-- KEITH E BROCKMAN
3161 CUSTER DR
LEXINGTON, KY 40517-4067
Phone number: 859-253-1686
Mailing Address
-- KEITH E BROCKMAN
1351 NEWTOWN PIKE
LEXINGTON, KY 40511-1217
Phone number: 859-253-1686
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