Individual
MS. DIANNA LAVEE KEELING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
17959 MAIN ST, EMINENCE, MO 65466-6375
(573) 226-5505
(573) 226-1256
Mailing address
110 S 2ND ST, ELLINGTON, MO 63638-9400
(573) 663-2313
(573) 663-2441
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2004006204
MO
363LF0000X
Family Nurse Practitioner
Primary
2013002123
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1609115237
—
MO
01
—
26D0679044
CLIA
MO
05
—
420002899
—
MO
01
—
431560263
TRICARE
MO
01
—
P01235241
RR MCR
MO
Enumeration date
02/01/2013
Last updated
06/05/2026
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