Individual
HEATHER L KEITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
2310 S OLD HIGHWAY 94, SAINT CHARLES, MO 63303-5622
(314) 687-2729
Mailing address
PO BOX 955534, SAINT LOUIS, MO 63195-5534
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
11015-33
WI
363L00000X
Nurse Practitioner
Primary
2015006323
MO
363LF0000X
Family Nurse Practitioner
2015006323
MO
Other
Enumeration date
06/17/2015
Last updated
03/20/2023
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