Individual
CHRISTOPHER JOHN KECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4020 GREEN MOUNT CROSSING DR, SHILOH, IL 62269-7287
(618) 977-6866
Mailing address
4616 FRANK SCOTT PKWY W, BELLEVILLE, IL 62223-6931
(618) 977-6866
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/12/2017
Last updated
12/12/2017
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