Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Key Functional Restoration LLC

Organization Counselor · NPI 1063801009

Key Functional Restoration LLC is a Counselor in Edmond, Oklahoma. Registered with an NPI since 2015.

In the registry since
2015
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

14701 N Kelly Ave
Edmond, OK 73013-3814
Phone: (405) 607-5920
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X

Record details

NPI number1063801009
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kevin Blaylock — Member · (405) 775-4200
NPI enumeratedJanuary 14, 2015
Last updated in NPPESJanuary 14, 2015
Mailing address236 Nw 62nd St, Oklahoma City, OK 73118-7422

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