Individual
DR. KENT ALLAN KEETHLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1806 WEST 5TH STREET, SEDALIA, MO 65301-2420
(660) 826-0146
(660) 827-4719
Mailing address
1806 WEST 5TH STREET, SEDALIA, MO 65301-2420
(660) 826-0146
(660) 827-4719
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
014457
MO
Other
Enumeration date
09/26/2006
Last updated
07/08/2007
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