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Individual

MR. ROBERT SCOTT KECK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
FNP-C

Contact information

Practice address
4101 S 4TH ST, LEAVENWORTH, KS 66048-5014
(913) 682-2000
Mailing address
4101 S 4TH ST, LEAVENWORTH, KS 66048-5014
(913) 682-2000

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
53-81421-062
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
13-69660-62
NURSING LICENSE
KS
01
141011
NURSING LICENSE
MO
Enumeration date
11/28/2005
Last updated
07/19/2023
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