| Doctor Name: | MRS. PAGE KEETON |
| NPI Number: | 1396119715 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CADC |
| License Number: | 1191 |
| Business Practice Address: | 317 Broadway St Paintsville, KY - 412401348 |
| Business Phone Number: | 6062200397 |
| Business Fax Number: | |
| Mailing Address: | 244 Tree Nursery Rd, WEST LIBERTY |
| State: | KY |
| Postal Code: | 414729763 |
| Phone Number: | 6067432878 |
| Fax Number: | |
| NPI Enumeration Date: | 11/23/2015 |
| NPI Last Update Date: | 11/23/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 1191 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | KY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |