NPI

Kenzie Keefer

NPI 1245882729

Read from the NPPES registry on October 23, 2026.

Facts

Status
Active
Credential
PTA
Type
Individual
Enumeration date
2019-07-15
Last updated
2019-07-15

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Specialties

Licenses

The registry row did not include a license.

Location

Practice location
3020 S 6th St
City
Springfield IL
Postal code
62703-5915
Phone
(217) 528-7541

Medicare

PECOS
No PECOS enrollment row matched this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.

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