Individual
MICHELLE THERESE KEETON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
54 HOSPITAL DR, OSAGE BEACH, MO 65065-3050
(573) 302-3999
(573) 302-2751
Mailing address
54 HOSPITAL DR, OSAGE BEACH, MO 65065-3050
(573) 302-3999
(573) 302-2751
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0010-15001
NC
363A00000X
Physician Assistant
Primary
2026015245
MO
Other
Enumeration date
10/08/2024
Last updated
07/20/2026
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