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Organization
KEY HEALTH INSTITUTE OF EDMOND, LLC
Active
Organization
KEY HEALTH INSTITUTE OF EDMOND, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AUDRA G FOX M.D. (MANAGER)
(405) 607-5920
Entity
Organization
Contact information
Practice address
14701 N KELLEY AVE, EDMOND, OK 73013-3814
(405) 607-5920
Mailing address
236 NW 62ND ST, OKLAHOMA CITY, OK 73118-7422
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
OK
207Q00000X
Family Medicine Physician
Primary
—
OK
208VP0014X
Interventional Pain Medicine Physician
—
OK
Other
Enumeration date
11/04/2013
Last updated
06/22/2015
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