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NPI Code Detail

MEDICARE: KEY OPTIMAL WELLNESS LLC

MEDICARE: KEY OPTIMAL WELLNESS LLC
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
1363LF0000XFamily Nurse Practitioner

General Provider Information

NPI Number : 1831029545
Entity Type Code : Organization
Provider Name (Legal Business Name) : KEY OPTIMAL WELLNESS LLC
Provider Business Mailing Address
First Line : 7404 EXECUTIVE PL STE 400
Second Line :
City : LANHAM
State : MD
Zip : 20706-6228
Country : US
Telephone Number : 240-692-6840
Fax Number : 240-686-5995
Provider Business Practice Location Address
First Line : 7404 EXECUTIVE PL STE 400
Second Line :
City : LANHAM
State : MD
Zip : 20706-6228
Country : US
Telephone Number : 305-742-3283
Fax Number :
Authorized Official
Title or Position : OWNER
Name : KESHIA CINDY THOMPSON
Credential : DNP, FNP-BC
Telephone Number : 305-742-3283
Provider Enumeration Date : 05/22/2026
Last Update Date : 06/08/2026

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Directions to “KEY OPTIMAL WELLNESS LLC ” Practice Location

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