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NPI Code Detail

MEDICARE: RICHARD KEEPER JR. CADC

MEDICARE: RICHARD KEEPER JR. CADC
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
1101YA0400XAddiction (Substance Use Disorder) Counselor284207KY

General Provider Information

NPI Number : 1083506364
Entity Type Code : Individual
Provider Name (Legal Business Name) : RICHARD KEEPER JR. CADC
Provider Business Mailing Address
First Line : 706 YALE DR APT 5
Second Line :
City : CLARKSVILLE
State : IN
Zip : 47129-6525
Country : US
Telephone Number : 502-537-0500
Fax Number :
Provider Business Practice Location Address
First Line : 3934 DIXIE HWY STE 210
Second Line :
City : LOUISVILLE
State : KY
Zip : 40216-4176
Country : US
Telephone Number : 502-709-5029
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/19/2025
Last Update Date : 07/19/2025

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