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Contact Information

TRACEY KEATON, SLP
6927 OLD SEWARD HWY STE 100
ANCHORAGE, AK99518-2283
 Phone: 907-345-0050
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Speech-Language Pathologist

235Z00000X 15 Speech Language Pathologist
Indicates primary specialty

NPI Profile & details for TRACEY KEATON · (Female)

NPI Number 1013094788
Status Active
Credentials SLP (Speech-Language Pathologists)
Entity Individual
Enumeration date 11/01/2006
Last updated 09/13/2017 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • AK License # 54
  • AK Medicaid 1031184
  • AK Medicaid SP4293
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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