Individual
KEITH ALAN MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1309 KENILWORTH RD, NICHOLS HILLS, OK 73120-1410
(405) 850-1378
Mailing address
1309 KENILWORTH RD, NICHOLS HILLS, OK 73120-1410
(405) 850-1378
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/18/2020
Last updated
02/18/2020
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