Individual
DR. JOHN DAVID KEITZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
95 GARDEN LN, JOPLIN, MO 64801-9114
(417) 529-3309
Mailing address
95 GARDEN LN, JOPLIN, MO 64801-9114
(417) 529-3309
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
036133723
IL
207P00000X
Emergency Medicine Physician
2005001991
MO
207P00000X
Emergency Medicine Physician
Primary
4498
TN
Other
Enumeration date
10/04/2006
Last updated
10/05/2021
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