Individual
MS. KATHERINE MONICA KEELER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHNP
Contact information
Practice address
3870 COLUMBIA AVE, OSAGE BEACH, MO 65065-8689
(877) 406-2662
Mailing address
PO BOX 777, RICHLAND, MO 65556-0777
(877) 406-2662
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
209004786
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
154886
MISSOURI STATE LICENSE
MO
01
—
209 004786
ILLINOIS STATE LISENCE
IL
Enumeration date
01/24/2007
Last updated
07/19/2022
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