Individual
DR. LYDIA W KEISLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1515 HAZEL ST, SUITE 101, CARTHAGE, MO 64836-2850
(417) 358-0188
(417) 358-4612
Mailing address
1515 HAZEL ST, SUITE 101, CARTHAGE, MO 64836-2850
(417) 358-0188
(417) 358-4612
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
101562
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
207V00000X
TAXONOMY
MO
05
—
209731827
—
MO
Enumeration date
03/28/2006
Last updated
05/07/2009
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