Individual
KEYEN MARCUS BRAUGHTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
108 W SOUTH ST, WARRENSBURG, MO 64093-2324
(660) 543-4256
Mailing address
1148 SILVERLEAF LN, LIBERTY, MO 64068-8496
(816) 723-0408
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/09/2018
Last updated
04/09/2018
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