Keystone Place, LLC

Primary specialty

Meals ProviderTaxonomy code 174200000X

Legal business name

KEYSTONE PLACE, LLC

Practice address

6126 Rockwell Dr NE
Cedar Rapids, IA 52402-4781

Phone

(319) 593-9500

Fax

(319) 393-9501

NPI assigned

Sep 8, 2020

Organization subpart

No

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

Authorized official

Name

Brenda Armstrong

Title

General Counsel

Phone

(317) 409-9252

Specialties & licenses 2

Addresses

Other names 2

• Keystone Cedars Doing business as
• The Keystones of Cedar Rapids Doing business as

Locations

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

{
    "created_epoch": "1599523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599523200000",
    "number": "1568076578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3965 AIRPORT DR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462545845",
            "telephone_number": "317-409-9252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6126 ROCKWELL DR NE",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524024781",
            "telephone_number": "319-593-9500",
            "fax_number": "319-393-9501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEYSTONE PLACE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-08",
        "last_updated": "2020-09-08",
        "certification_date": "2020-09-08",
        "status": "A",
        "authorized_official_last_name": "ARMSTRONG",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_title_or_position": "GENERAL COUNSEL",
        "authorized_official_telephone_number": "317-409-9252"
    },
    "taxonomies": [
        {
            "code": "174200000X",
            "taxonomy_group": "",
            "desc": "Meals",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "177F00000X",
            "taxonomy_group": "",
            "desc": "Lodging",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Keystone Cedars",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Keystones of Cedar Rapids",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Addie Noel Ketelsen, ARNP
• Katie Ann Kettelkamp, DDS
• Richard T Kettelkamp, DO
• Randi J Key, ARNP
• Keystone Chiropractic PLC
• Amira Khalafalla
• Mohammed E Khalil, MD
• Sophia Raziuddin Khatri, OD
• Adnan N. Kiani, M.D
• Mikal Kidder

• Meals Provider in Cedar Rapids, IA
• Providers in Cedar Rapids, IA by specialty
• Meals Provider in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 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.