Provider Demographics
NPI:1619717568
Name:KEENEY, APRIL
Entity type:Individual
Prefix:
First Name:APRIL
Middle Name:
Last Name:KEENEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2281 US HIGHWAY 68 S
Mailing Address - Street 2:
Mailing Address - City:BELLEFONTAINE
Mailing Address - State:OH
Mailing Address - Zip Code:43311-8904
Mailing Address - Country:US
Mailing Address - Phone:937-592-9019
Mailing Address - Fax:937-592-9097
Practice Address - Street 1:2281 US HIGHWAY 68 S
Practice Address - Street 2:
Practice Address - City:BELLEFONTAINE
Practice Address - State:OH
Practice Address - Zip Code:43311-8904
Practice Address - Country:US
Practice Address - Phone:937-592-9019
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-29
Last Update Date:2024-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOptician