Keithahn, Mari Ann

Keithahn, Mari Ann is an individual health care provider with primary practice located at 105 N Keene St Ste 102 , Columbia MO 65201-8131. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Retina Specialist, Allopathic & Osteopathic Physicians / Ophthalmology. Allopathic & Osteopathic Physicians / Ophthalmology is her primary health care specialty. Keithahn, Mari Ann can be contacted via phone (573) 777-8738.

Contact Information

Primary practice address
105 N Keene St Ste 102 Columbia MO 65201-8131
Phone: (573) 777-8738
Fax: (573) 777-8739
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Retina Specialist 207WX0107X 111416 Missouri
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 111416 Missouri

Profile Details

NPI number 1902880313
LBN Legal business name Keithahn, Mari Ann
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 30th, 2005
Last updated Jun 29th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902880313 NPPES
Missouri Other 101298 BLUE CROSS BLUE SHIELD
Missouri MEDICAID 208468504 BLUE CROSS BLUE SHIELD

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