Provider Demographics
NPI:1962383190
Name:COXF, KEELY DAWN
Entity type:Individual
Prefix:
First Name:KEELY
Middle Name:DAWN
Last Name:COXF
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 1:113 EXECUTIVE WAY
Mailing Address - Street 2:
Mailing Address - City:HEDGESVILLE
Mailing Address - State:WV
Mailing Address - Zip Code:25427-5772
Mailing Address - Country:US
Mailing Address - Phone:304-676-6178
Mailing Address - Fax:
Practice Address - Street 1:113 EXECUTIVE WAY
Practice Address - Street 2:
Practice Address - City:HEDGESVILLE
Practice Address - State:WV
Practice Address - Zip Code:25427-5772
Practice Address - Country:US
Practice Address - Phone:304-676-6178
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-12
Last Update Date:2025-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV3747P1801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant