Individual
JERRY A KEUHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
191 IOWA BLVD, TRENTON, MO 64683-8343
(660) 358-5700
(660) 358-5740
Mailing address
191 IOWA BLVD, TRENTON, MO 64683-8343
(660) 358-5700
(660) 358-5740
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
R7835
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1730240243
NPI
MO
Enumeration date
12/12/2006
Last updated
08/18/2011
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