person
Ms. Dianna Lavee Keeling, FNP
Family Nurse Practitioner in Licking, Missouri
NPI 1609115237

Dianna Lavee Keeling is a Family Nurse Practitioner based in Licking, MO and is specialized in Family. Dianna Lavee Keeling practices in Licking, MO and has the professional credentials of FNP. The NPI Number for Dianna Lavee Keeling is 1609115237 and holds a License No. 2013002123 (Missouri).

The current practice location address for Dianna Lavee Keeling is 233 S Main St, Licking, MO and can be reached out via phone at 573-674-3011 and via fax at 573-674-4765.

Location: 233 S Main St, Licking, MO, 65542-0047
person
Provider Profile Details
NPI Number
1609115237
Provider Name
Dianna Lavee Keeling
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
233 S Main St, Licking, MO, 65542-0047
Phone Number
573-674-3011
Fax Number
573-674-4765
Provider Enumeration Date
02/01/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
420002899 05 MO
26D0679044 01 MO CLIA
1609115237 05 MO
431560263 01 MO TRICARE
P01235241 01 MO RR MCR
institution
Provider Business Practice Location Address Details
Address
233 S Main St
City
State
Zip
65542-9325
Phone Number
573-674-3011
Fax Number
573-674-4765
person
Provider Business Mailing Address Details
Address
233 S Main St
City
State
Zip
65542-9325
Phone Number
573-674-3011
Fax Number
573-674-4765
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
2013002123 (Missouri)
Definition
Definition to come...
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