Provider Demographics
NPI:1083506364
Name:KEEPER, RICHARD JR (CADC)
Entity type:Individual
Prefix:
First Name:RICHARD
Middle Name:
Last Name:KEEPER
Suffix:JR
Gender:M
Credentials:CADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:706 YALE DR APT 5
Mailing Address - Street 2:
Mailing Address - City:CLARKSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47129-6525
Mailing Address - Country:US
Mailing Address - Phone:502-537-0500
Mailing Address - Fax:
Practice Address - Street 1:3934 DIXIE HWY STE 210
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40216-4176
Practice Address - Country:US
Practice Address - Phone:502-709-5029
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-19
Last Update Date:2025-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY284207101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)