Healthcare Provider Details

I. General information

NPI: 1699943035
Provider Name (Legal Business Name): FRANCES KEYES MSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/20/2008
Last Update Date: 06/01/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3000 BROADWAY ST APT 4
BOULDER CO
80304-3156
US

IV. Provider business mailing address

3000 BROADWAY ST APT 4
BOULDER CO
80304-3142
US

V. Phone/Fax

Practice location:
  • Phone: 720-209-5196
  • Fax:
Mailing address:
  • Phone: 720-209-5196
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number1890
License Number StateCO

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: