Kenter, Keith

Kenter, Keith is an individual health care provider with primary practice located at 1100 Virginia Ave , Columbia MO 65212-0001. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Kenter, Keith can be contacted via phone (573) 882-2663.

Contact Information

Primary practice address
1100 Virginia Ave Columbia MO 65212-0001
Phone: (573) 882-2663
Fax: (573) 882-1760
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 4301108728 Michigan
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 2024034861 Missouri
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 2024034861 Missouri

Profile Details

NPI number 1982662474
LBN Legal business name Kenter, Keith
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2006
Last updated Aug 27th, 2024 - about 2 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 1982662474 NPPES
Indiana MEDICAID 200380900
Indiana MEDICAID 2322758
Indiana MEDICAID 64051741
Indiana Other 200044257
Indiana Other 200044258

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