Individual
ELISE KEELE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
661 W INDEPENDENCE ST, JACKSON, MO 63755-1882
(573) 243-9753
Mailing address
661 W INDEPENDENCE ST, JACKSON, MO 63755-1882
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
IA-0008409992
MO
Other
Enumeration date
07/13/2026
Last updated
07/13/2026
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