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Elise Keele

Speech-Language Pathologist, in Jackson, MO. Individual provider (NPI-1).

NPI number1972422012
StatusActive
Last updated in NPPESJul 13, 2026

Details

NPI
1972422012
Entity type
Individual (NPI-1)
Name
Elise Keele
Sex
Female
Sole proprietor
Yes
Enumeration date
Jul 13, 2026
Certification date
Jul 13, 2026
Last updated
Jul 13, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
235Z00000X Speech-Language Pathologist,IA-0008409992MOYes

Practice location

661 W Independence St
Jackson, MO 63755-1882

Phone 573-243-9753

Mailing address

661 W Independence St
Jackson, MO 63755-1882

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