Individual
DR. KEITH CLOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
2301 HOLMES ST, KANSAS CITY, MO 64108-2640
(816) 404-4221
Mailing address
13817 MEADOW LN, LEAWOOD, KS 66224-4514
(913) 239-0461
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2002000691
MO
Other
Enumeration date
07/02/2014
Last updated
07/02/2014
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