MEDICARE: MEGHAN KEELER MED LPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	2015034341	MO

General Provider Information

NPI Number	:	1326546029
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MEGHAN KEELER MED LPC

Provider Business Mailing Address
First Line	:	2800 FORUM BLVD STE 4A
Second Line	:
City	:	COLUMBIA
State	:	MO
Zip	:	65203-5468
Country	:	US
Telephone Number	:	573-427-2602
Fax Number	:

Provider Business Practice Location Address
First Line	:	2800 FORUM BLVD STE 4A
Second Line	:
City	:	COLUMBIA
State	:	MO
Zip	:	65203-5468
Country	:	US
Telephone Number	:	573-427-2602
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/28/2018
Last Update Date	:	05/10/2020

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Directions to “ MEGHAN KEELER MED LPC” Practice Location

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