Organization
KEYS FAMILY HEALTH CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIAN EUGENE COOKSON A.R.N.P (NURSE PRACTITIONER/OWNER)
(918) 931-1115
Entity
Organization
Contact information
Practice address
26251 HWY 82 SUITE 1, PARK HILL, OK 74451
(918) 207-0667
(918) 207-0683
Mailing address
26251 HWY 82 SUITE 1, PARK HILL, OK 74441
(918) 207-0667
(918) 207-0683
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R0068390
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200117240A
—
OK
Enumeration date
03/16/2009
Last updated
10/19/2010
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