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Search › Missouri › 101Y00000X

Mariah Keathley

NPI 1407491830 · on the registry since 2019 · sole proprietor

Practice

Address
201 W Broadway Ste 2f
Columbia, MO 65203
Phone
(573) 214-0436
Fax
(573) 442-0606
Organisation at this address
Sea A Pc
Gfi Enterprises
Heartspace Clinic
New Hope Homes Llc
H. Kell Yang Md Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
51

Registry record

Primary taxonomy
101Y00000X
101Y00000X
Licence states on file
MO
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2019-11-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri