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NPI Code Detail

MEDICARE: SHELBY SYLVESTER KEYES

MEDICARE:   SHELBY SYLVESTER KEYES
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist8379LA

General Provider Information

NPI Number : 1013516822
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHELBY SYLVESTER KEYES
Provider Business Mailing Address
First Line : 205 CIRCLE DR
Second Line :
City : WEST MONROE
State : LA
Zip : 71291-5305
Country : US
Telephone Number : 318-381-8520
Fax Number : 888-616-5693
Provider Business Practice Location Address
First Line : 205 CIRCLE DR
Second Line :
City : WEST MONROE
State : LA
Zip : 71291-5305
Country : US
Telephone Number : 318-381-8520
Fax Number : 888-616-5693
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/22/2020
Last Update Date : 05/19/2025

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Directions to “ SHELBY SYLVESTER KEYES ” Practice Location

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