Individual
DR. KEESAG A. BARON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1242 E. INDEPENDENCE, SPRINGFIELD, MO 65804-4284
(417) 883-5500
(417) 883-5577
Mailing address
1242 E. INDEPENDENCE, STE. 200, SPRINGFIELD, MO 65804-4284
(417) 883-5500
(417) 883-5577
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
107583
MO
207RC0001X
Clinical Cardiac Electrophysiology Physician
107583
MO
207RI0011X
Interventional Cardiology Physician
107583
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
208048512
—
MO
01
—
25634
BC
MO
01
—
25634
BLUE CROSS/BLUE SHIELD
—
05
—
507022101
—
MO
01
—
909395531
MEDICARE ID
MO
Enumeration date
06/09/2006
Last updated
08/12/2013
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