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KEY FUNCTIONAL RESTORATION LLC
NPI 1063801009
Counselor in Edmond, OK

Active since January 14, 2015
14701 N KELLY AVE, EDMOND, OK 73013(405) 607-5920 Get Directions Write a Review

NPPES record last updated: January 14, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Key Functional Restoration Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KEY FUNCTIONAL RESTORATION LLC (NPI 1063801009) is a healthcare organization registered as a counselor in Edmond, Oklahoma and active in the NPI registry since January 2015. The organization lists Kevin L Blaylock, Member, as its authorized official.

NPPES Registry Identity

NPI1063801009
Entity TypeOrganization
Primary Taxonomy101Y00000X
Legal Business NameKEY FUNCTIONAL RESTORATION LLC
Location Address14701 N KELLY AVEEdmond, OK 73013-3814
Mailing Address236 Nw 62nd StOklahoma City, OK 73118-7422 · (405) 775-4200 · Fax (405) 841-9330
Phone(405) 607-5920
Organization SubpartNo
Authorized OfficialKevin L BlaylockMember · (405) 775-4200
Enumeration DateJanuary 14, 2015
✔ NPI 1063801009 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
14701 N KELLY AVE, Edmond, OK 73013
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KEY HEALTH INSTITUTE OF EDMOND, LLC
Clinic/Center (Urgent Care)
14701 N KELLY AVE
EDMOND, OK 73013
Oklahoma County (405) 463-6610
KEY HEALTH INSTITUTE OF EDMOND, LLC
Clinic/Center
14701 N KELLY AVE
EDMOND, OK 73013
Oklahoma County (405) 463-6610

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Key Functional Restoration LLC's NPI number?

The NPI number for Key Functional Restoration LLC is 1063801009. It was assigned to this organization in the NPPES registry on January 14, 2015.

Where is Key Functional Restoration LLC located?

Key Functional Restoration LLC is located at 14701 N Kelly Ave, Edmond, OK 73013. The listed phone number is (405) 607-5920.

What is Key Functional Restoration LLC's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Key Functional Restoration LLC was last updated on January 14, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.