# MADELYN M KECK

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1922000280
- **Gender:** F
- **Credential:** A.R.N.P.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | R0039619 | OK | Yes |

## Other

- **Enumeration date:** 06/01/2005
- **Last updated:** 10/08/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100088110A | — | OK |
| 01 | — | 444342284001 | BLUE CROSS | OK |
| 01 | — | 500017031 | RAILROAD MEDICARE | OK |