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General NPI Number Information
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NPI Number | 1316156268
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Entity Type | Organization
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Legal Business Name | KEA, INC.
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Dates
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Enumeration Date | 05/21/2007
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Last Update Date | 03/18/2025
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Provider Practice Location Address
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Address Line | 2911 CAMERON ST STE A
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City | MONROE
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State | LA
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Zip | 71201-3713
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Country | US
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Telephone | 318-699-8606
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Fax | 318-651-9251
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Provider Business Mailing Address
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Address Line | 2911 CAMERON ST
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City | MONROE
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State | LA
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Zip | 71201-3713
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Country | US
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Telephone | 318-651-9363
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MR. KERRY J SCOTT
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Credential | LAC
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Telephone | 318-699-8606
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 311Z00000X
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Taxonomy Name | Custodial Care Facility
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License Number | 1624802
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License Number State | LA
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Taxonomy #2
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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