Individual
JILL S KEAST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, MSN, ARNP-C
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
090489
MO
363LA2200X
Adult Health Nurse Practitioner
Primary
44758
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100319810A
—
KS
05
—
100319810C
—
KS
05
—
1003903675
—
MO
01
—
160137
BCBS KS OUTREACH CLINICS
KS
01
—
26354011
BCBS KC
—
Enumeration date
10/06/2006
Last updated
10/24/2018
Update your record
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