Individual
KEATON WILLIAM TODD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DNAP
Contact information
Practice address
1102 W 32ND ST, JOPLIN, MO 64804-3503
(417) 347-1111
Mailing address
1115 VALLEYVIEW LN, JOPLIN, MO 64804-3543
(417) 818-8387
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
123880
MO
Other
Enumeration date
06/10/2019
Last updated
09/03/2019
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