| Keeling And Keeling Enterprises Llc | |
|
1910d Greenwood Dr Poplar Bluff MO 63901-2430 | |
| (573) 840-8404 | |
| Not Available |
| Full Name | Keeling And Keeling Enterprises Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1910d Greenwood Dr, Poplar Bluff, Missouri |
| Authorized Official Name and Position | Sandra Keeling (OWNER) |
| Authorized Official Contact | 5738408404 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Keeling And Keeling Enterprises Llc 1311 Ginger St Poplar Bluff MO 63901-2107 Ph: (573) 840-8404 | Keeling And Keeling Enterprises Llc 1910d Greenwood Dr Poplar Bluff MO 63901-2430 Ph: (573) 840-8404 |
| NPI Number | 1194284539 |
|---|---|
| Provider Enumeration Date | 03/15/2019 |
| Last Update Date | 03/15/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194284539 | NPI | - | NPPES |
| 494916802 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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