| Keeton Enterprises, Inc. | |
|
407 Church St Ne Ste I Vienna VA 22180-4737 | |
| (703) 356-1330 | |
| (703) 938-1373 |
| Full Name | Keeton Enterprises, Inc. |
|---|---|
| Speciality | Counselor - Professional |
| Location | 407 Church St Ne Ste I, Vienna, Virginia |
| Authorized Official Name and Position | Homer Dale Keeton (PRESIDENT) |
| Authorized Official Contact | 7033561330 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Keeton Enterprises, Inc. 1810 Abbey Glen Ct Vienna VA 22182-1969 Ph: (793) 356-1330 | Keeton Enterprises, Inc. 407 Church St Ne Ste I Vienna VA 22180-4737 Ph: (703) 356-1330 |
| NPI Number | 1255348108 |
|---|---|
| Provider Enumeration Date | 08/02/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255348108 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 0701000638 (Virginia) | Primary |
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