Organization
KEELING AND KEELING ENTERPRISES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDRA KEELING LPC (OWNER)
(573) 840-8404
Entity
Organization
Contact information
Practice address
1910D GREENWOOD DR, POPLAR BLUFF, MO 63901-2430
(573) 840-8404
Mailing address
1311 GINGER ST, POPLAR BLUFF, MO 63901-2107
(573) 840-8404
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
494916802
—
MO
Enumeration date
03/15/2019
Last updated
03/15/2019
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