Individual
SARA H KEEBLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 BIRDHAVEN WAY, MILFORD, OH 45150
(513) 293-0986
Mailing address
4457 MELLWOOD AVE., CINCINNATI, OH 45232
(513) 293-0986
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2627894
—
OH
Enumeration date
05/01/2007
Last updated
07/08/2007
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