Keen Sales Group Inc

Primary specialty

Clinical Biochemical Genetics PhysicianTaxonomy code 207SG0202X

Legal business name

KEEN SALES GROUP INC

Practice address

5940 S Highway 1651
Pine Knot, KY 42635-6102

Phone

(423) 223-8000

NPI assigned

Jan 2, 2020

Organization subpart

No

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

Authorized official

Name

Randall Tomes

Title

Co Ceo

Phone

(423) 223-8000

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 1

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

{
    "created_epoch": "1577923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1577923200000",
    "number": "1265071724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5940 S HIGHWAY 1651",
            "city": "PINE KNOT",
            "state": "KY",
            "postal_code": "426356102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5940 S HIGHWAY 1651",
            "city": "PINE KNOT",
            "state": "KY",
            "postal_code": "426356102",
            "telephone_number": "423-223-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEEN SALES GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-02",
        "last_updated": "2020-01-02",
        "certification_date": "2020-01-02",
        "status": "A",
        "authorized_official_last_name": "TOMES",
        "authorized_official_first_name": "RANDALL",
        "authorized_official_title_or_position": "CO CEO",
        "authorized_official_telephone_number": "423-223-8000"
    },
    "taxonomies": [
        {
            "code": "207SG0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Medical Genetics, Clinical Biochemical Genetics",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2083T0002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Preventive Medicine, Medical Toxicology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0040134461",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Self",
            "affiliation": "N",
            "endpointDescription": "Self",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5940 S Highway 1651",
            "city": "Pine Knot",
            "state": "KY",
            "country_code": "US",
            "postal_code": "426356102",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Tonya Lavern Hackler
• Brittany Hampton
• Industrial Wellness Services of Kentucky, PLLC (Appalachian Family Care)
• Tena Louise Jessing, PHARM. D.
• Carri A Johnson
• Shannon Michelle Kidd, SLP
• Lake Cumberland District Health Dept (Pine Knot Primary School)
• Lake Cumberlane District Health Dept (Pine Knot Intermediate)
• Madonna L Loudermilk, APRN
• LP Pine Knot, LLC (Signature Healthcare of McCreary County Rehab & Wellness Center)

• Clinical Biochemical Genetics Physician in Pine Knot, KY
• Providers in Pine Knot, KY by specialty
• Clinical Biochemical Genetics Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2020; 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.