Healthcare Provider Details

I. General information

NPI: 1548126790
Provider Name (Legal Business Name): KEYSTONE THERAPY SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/31/2025
Last Update Date: 09/22/2026
Certification Date: 09/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

34 ORCHARD ST
OWENSBORO KY
42301-0645
US

IV. Provider business mailing address

7 WOODFORD AVE
OWENSBORO KY
42301-0563
US

V. Phone/Fax

Practice location:
  • Phone: 606-922-4644
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: KAYLA PARSONS
Title or Position: CONSULTANT
Credential:
Phone: 606-922-4644