Individual
JOHN L KEENER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
600 COURT ST, FULTON, MO 65251-1903
(573) 642-6892
Mailing address
501 WOODRIDGE DR, COLUMBIA, MO 65201-6536
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
40725
MO
Other
Enumeration date
05/17/2007
Last updated
07/08/2007
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