Individual
MRS. JOYCE R KECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
652 MADISON 3375, WITTER, AR 72776-8067
(479) 232-5755
Mailing address
652 MADISON 3375, WITTER, AR 72776-8067
(479) 232-5755
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
167262783
—
AR
Enumeration date
04/24/2008
Last updated
04/24/2008
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