Individual
DEBRA KEITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
237 S LOCUST, NOWATA, OK 74048
(918) 273-3102
(918) 273-5490
Mailing address
237 S LOCUST, NOWATA, OK 74048
(918) 273-3102
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
16056
OK
Other
Enumeration date
02/02/2007
Last updated
01/29/2015
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