Kristy Michelle Keirsey, RDH

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

2009014053 Issued in MO

Practice address

1500 N Westwood Blvd
Poplar Bluff, MO 63901-3318

Phone

(573) 686-4151

NPI assigned

Apr 16, 2020

Last updated

Apr 16, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1586995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586995200000",
    "number": "1184244493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 LINCOLN DR",
            "city": "POPLAR BLUFF",
            "state": "MO",
            "postal_code": "639019075",
            "telephone_number": "573-714-0706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 N WESTWOOD BLVD",
            "city": "POPLAR BLUFF",
            "state": "MO",
            "postal_code": "639013318",
            "telephone_number": "573-686-4151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEIRSEY",
        "first_name": "KRISTY",
        "middle_name": "MICHELLE",
        "name_prefix": "Miss",
        "credential": "RDH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-16",
        "last_updated": "2020-04-16",
        "certification_date": "2020-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "MO",
            "license": "2009014053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristie Lynne Keasler, BSW MS/LPC
• Shannon Doris Keasler, LPC
• Keeling and Keeling Enterprises LLC
• James Dennis Keeling, M.A., CCC-SLP
• Sandra L. Keeling, LPC
• Keith a Shelton (Medicine Shoppe)
• Melissa Keith, APRN-BC
• Carol Marie Kellison
• Simeon Sky Kelly
• John Judson Kersbergen, PHARMACIST

• Dental Hygienist in Poplar Bluff, MO
• Providers in Poplar Bluff, MO by specialty
• Dental Hygienist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.