Individual
MATT KEIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
100 CHAPEL DR STE A, MONETT, MO 65708-9378
(417) 635-1100
Mailing address
100 CHAPEL DR STE A, MONETT, MO 65708-9378
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2013042216
MO
Other
Enumeration date
01/29/2020
Last updated
01/29/2020
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