Most Relevant Information
Provider Data
| NPI Number: | 1003311473 |
| Provider Name: | KEELEY REDFORD |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/28/2018 |
| Last Updated: | 03/28/2018 |
Provider Practice Location
5863 NW 72ND ST
KANSAS CITY
MO
641511483
Practice Location Phone/Fax
| Phone: | 8169848282 |
| Fax: |
Provider Mailing Location
5863 NW 72ND ST
KANSAS CITY
MO
641511483
Provider Mailing Phone/Fax
| Phone: | 8169848282 |
| Fax: |