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KEANU IRENE HACKLEY
NPI 1164188090
Student in an Organized Health Care Education/Training Program in Louisville, KY

Active since November 15, 2021
204 E MARKET ST # A, LOUISVILLE, KY 40202(502) 588-4340 Get Directions Write a Review

NPPES record last updated: November 15, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Keanu Irene Hackley NPPES

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

KEANU IRENE HACKLEY (NPI 1164188090) is an individual student in an organized health care education/training program in Louisville, Kentucky and active in the NPI registry since November 2021.

NPPES Registry Identity

NPI1164188090
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameKEANU IRENE HACKLEY
Location Address204 E MARKET ST # ALouisville, KY 40202-1218
Mailing Address4717 Cliff AveLouisville, KY 40215-2420 · (502) 554-0380
Phone(502) 588-4340
Sole ProprietorNo
Enumeration DateNovember 15, 2021
NPPES CertifiedNovember 15, 2021
✔ NPI 1164188090 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
204 E MARKET ST # A, Louisville, KY 40202
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Other Providers at the Same Location NPPES 20

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

ELIZABETH H G EATON
Social Worker (Clinical)
204 E MARKET ST # A
LOUISVILLE, KY 40202
Jefferson County (502) 588-4340
ABRAHAM SCHAMAUN
Student in an Organized Health Care Education/Training Program
204 E MARKET ST # A
LOUISVILLE, KY 40202
Jefferson County (970) 286-3293
SARA NICOLE SEREDA
Student in an Organized Health Care Education/Training Program
204 E MARKET ST # A
LOUISVILLE, KY 40202
Jefferson County (410) 991-0257
CHANNING LACOUR
Student in an Organized Health Care Education/Training Program
204 E MARKET ST # A
LOUISVILLE, KY 40202
Jefferson County (502) 709-2017
LEAH GABRIELLE ROME
Student in an Organized Health Care Education/Training Program
204 E MARKET ST # A
LOUISVILLE, KY 40202
Jefferson County (606) 224-6657
TRAVIS CODIROLI
Social Worker
204 E MARKET ST # A
LOUISVILLE, KY 40202
Jefferson County (502) 588-4340
JOANNA MICHELLE MACKENS
Student in an Organized Health Care Education/Training Program
204 E MARKET ST # A
LOUISVILLE, KY 40202
Jefferson County (502) 588-0433
MADISON RHYNE
Student in an Organized Health Care Education/Training Program
204 E MARKET ST # A
LOUISVILLE, KY 40202
Jefferson County (502) 939-3103

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 Keanu Hackley's NPI number?

The NPI number for Keanu Hackley is 1164188090. It was assigned to this individual provider in the NPPES registry on November 15, 2021.

Where is Keanu Hackley located?

Keanu Hackley practices at 204 E Market St # A, Louisville, KY 40202. The listed phone number is (502) 588-4340.

What is Keanu Hackley's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Keanu Hackley was last updated on November 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.