Individual
KEITH FRIELING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
29 NW 1ST LN, LAMAR, MO 64759-8105
(417) 681-5187
(417) 681-5519
Mailing address
29 NW 1ST LN, LAMAR, MO 64759-8105
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1999140145
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1999140145
—
MO
Enumeration date
01/22/2020
Last updated
01/22/2020
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