MEDICARE: SHAWNA LYNN 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
1	1041C0700X	Clinical Social Worker	P017587	NC

General Provider Information

NPI Number	:	1558255679
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHAWNA LYNN KEYES

Provider Business Mailing Address
First Line	:	3170 WAYAH RD
Second Line	:
City	:	FRANKLIN
State	:	NC
Zip	:	28734-8120
Country	:	US
Telephone Number	:	360-929-1054
Fax Number	:

Provider Business Practice Location Address
First Line	:	3170 WAYAH RD
Second Line	:
City	:	FRANKLIN
State	:	NC
Zip	:	28734-8120
Country	:	US
Telephone Number	:	828-524-1422
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/04/2025
Last Update Date	:	06/04/2025

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Directions to “ SHAWNA LYNN KEYES ” Practice Location

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