Provider Demographics
NPI:1114719002
Name:BINION, KEITH MAURICE (MED, CPHT, CCHW)
Entity type:Individual
Prefix:
First Name:KEITH
Middle Name:MAURICE
Last Name:BINION
Suffix:
Gender:M
Credentials:MED, CPHT, CCHW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20534 WOODSIDE ST
Mailing Address - Street 2:
Mailing Address - City:HARPER WOODS
Mailing Address - State:MI
Mailing Address - Zip Code:48225-2263
Mailing Address - Country:US
Mailing Address - Phone:313-686-4872
Mailing Address - Fax:
Practice Address - Street 1:20534 WOODSIDE ST
Practice Address - Street 2:
Practice Address - City:HARPER WOODS
Practice Address - State:MI
Practice Address - Zip Code:48225-2263
Practice Address - Country:US
Practice Address - Phone:313-686-4872
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-19
Last Update Date:2025-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5303023220183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician