MR. KEITH DAVID NUNN JR. LPC - NPI 1457300774 - Counselor in North Wilkesboro, NC

Q: What is Keith Nunn's NPI number?

The NPI number for Keith Nunn is 1457300774. It was assigned to this individual provider in the NPPES registry on May 6, 2006.

Q: What is Keith Nunn's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Q: When was this NPI record last updated?

The NPPES record for Keith Nunn was last updated on June 7, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Mr. Keith David Nunn Jr. Lpc NPPES

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

MR. KEITH DAVID NUNN JR. LPC (NPI 1457300774) is an individual professional provider in North Wilkesboro, North Carolina, licensed in North Carolina (5221) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1457300774

Entity TypeIndividualMale

Primary Taxonomy101YP2500X

Provider Legal NameMR. KEITH DAVID NUNN JR.Credential: LPC

Location Address1400 WILLOW LNNorth Wilkesboro, NC 28659-3551

Mailing Address284 Executive Park Dr, Suite 1000Concord, NC 28025-1831 · (704) 939-1100 · Fax (704) 939-1173

Phone(336) 667-5151

Fax(336) 838-3133

Sole ProprietorNo

Enumeration DateMay 6, 2006

Last NPPES UpdateJune 7, 2013

✔ NPI 1457300774 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in NC · 5221

1400 WILLOW LN, North Wilkesboro, NC 28659

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Other Identifiers 2

Other1413XNC · Bluecross Blueshield Of N

Medicaid6103158NC

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.

SHANNON PRICE

Counselor