Individual
KEATON LOVELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
100 MOCKINGBIRD LN, POTEAU, OK 74953-2602
(918) 348-5537
Mailing address
209 NE 5TH, MCCURTAIN, OK 74944-3373
(918) 348-5537
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4229
OK
Other
Enumeration date
02/23/2016
Last updated
02/23/2016
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