Key Functional Restoration LLC

Primary specialty

CounselorTaxonomy code 101Y00000X

Legal business name

KEY FUNCTIONAL RESTORATION LLC

Practice address

14701 N Kelly Ave
Edmond, OK 73013-3814

Phone

(405) 607-5920

NPI assigned

Jan 14, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Kevin L Blaylock

Title

Member

Phone

(405) 775-4200

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1421193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421193600000",
    "number": "1063801009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "236 NW 62ND ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731187422",
            "telephone_number": "405-775-4200",
            "fax_number": "405-841-9330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14701 N KELLY AVE",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730133814",
            "telephone_number": "405-607-5920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEY FUNCTIONAL RESTORATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-14",
        "last_updated": "2015-01-14",
        "status": "A",
        "authorized_official_last_name": "BLAYLOCK",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "405-775-4200",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Noemi Paulina Kesner
• Rosa Maria Kesner, M.A., LPC
• Susan Lynn Kester, MSFLE
• Kristin Cole Ketch, COTA/L
• Kevin Teal, M.D., P.C.
• Key Health Institute of Edmond, LLC
• Key Health Institute of Edmond, LLC
• Key Health Institute of Edmond, LLC
• Keys for Hope PLLC
• Mahmoud A Khaimi, M.D.

• Counselor in Edmond, OK
• Providers in Edmond, OK by specialty
• Counselor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.