Individual
MRS. HALEY MARIE KEESAMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
802 N RIVERSIDE RD STE 150, SAINT JOSEPH, MO 64507-2508
(816) 271-4025
(816) 271-4026
Mailing address
9350 SW STATE ROUTE J, OSBORN, MO 64474-9166
(605) 464-0633
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2023011685
MO
Other
Enumeration date
10/11/2019
Last updated
07/03/2025
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