# MR. KEITH E OGLE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1952688269
- **Gender:** Man
- **Credential:** RN, BSN

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163W00000X | Registered Nurse | 14-90533-012 | KS | — |
| 163W00000X | Registered Nurse | 2000151395 | MO | Yes |

## Other

- **Enumeration date:** 11/15/2011
- **Last updated:** 11/15/2011