Individual
NICHOLE MCKEOWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1703 S MAIN ST, PALMYRA, MO 63461-1968
(573) 769-2066
Mailing address
6480 KATHERINE DR, PALMYRA, MO 63461-2528
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
2022034860
MO
Other
Enumeration date
01/04/2024
Last updated
01/04/2024
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