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Individual

DEBRA C KEITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
18215 STATE ROUTE 45 N, WESTON, MO 64098-9101
(816) 640-2762
(816) 640-5564
Mailing address
18215 STATE ROUTE 45 N, WESTON, MO 64098-9101
(816) 640-2762
(816) 640-5564

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
R1J75
MO

Other

Enumeration date
08/20/2006
Last updated
04/04/2011
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