Individual
DR. KENNETH J KEIRSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
608 N MAGUIRE ST, WARRENSBURG, MO 64093-1420
(660) 747-7300
(660) 747-5322
Mailing address
608 N MAGUIRE ST, WARRENSBURG, MO 64093-1420
(660) 747-7300
(660) 747-5322
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TO3061
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04580012
BLUE CROSS BLUE SHIELD KC 8 DIGIT BILLING NUBER
—
01
—
18576011
BLUE CROSS BLUE SHIELD KC
—
05
—
18576011
—
MO
05
—
313476715
—
MO
Enumeration date
04/14/2006
Last updated
10/04/2022
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