Healthcare Provider Details

I. General information

NPI: 1831029545
Provider Name (Legal Business Name): KEY OPTIMAL WELLNESS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/22/2026
Last Update Date: 05/22/2026
Certification Date: 05/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7404 EXECUTIVE PL STE 400
LANHAM MD
20706-6228
US

IV. Provider business mailing address

7404 EXECUTIVE PL STE 400
LANHAM MD
20706-6228
US

V. Phone/Fax

Practice location:
  • Phone: 305-742-3283
  • Fax:
Mailing address:
  • Phone: 305-742-3283
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: KESHIA CINDY THOMPSON
Title or Position: OWNER
Credential: DNP, FNP-BC
Phone: 305-742-3283