Individual
MELISSA KEITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-BC
Contact information
Practice address
1500 N WESTWOOD BLVD, POPLAR BLUFF, MO 63901-3318
(573) 686-4151
Mailing address
1500 N WESTWOOD BLVD, POPLAR BLUFF, MO 63901-3318
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2012012841
MO
Other
Enumeration date
05/31/2012
Last updated
05/31/2012
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