Individual
DR. KEITH A. MEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
550 S HUDSON AVE, AURORA, MO 65605-2362
(417) 678-5176
(417) 678-0675
Mailing address
PO BOX 2580, SPRINGFIELD, MO 65801-2580
(417) 829-4620
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
109803
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
208558601
—
MO
Enumeration date
10/24/2006
Last updated
05/09/2013
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