Organization
CERTIFIED BRACE AND LIMB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD KEELE II (OWNER)
(660) 438-3884
Entity
Organization
Contact information
Practice address
1030 E MAIN ST, WARSAW, MO 65355-3331
(660) 438-3884
Mailing address
1030 E MAIN ST, WARSAW, MO 65355-3331
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
07/02/2006
Last updated
10/27/2008
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