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Organization

MOVEMENT LABORATORY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOHN HORACE KEEFE IV D.C. (OWNER)
(918) 300-4084
Entity
Organization

Contact information

Practice address
9238 S SHERIDAN RD STE C, TULSA, OK 74133-5434
(918) 300-4084
Mailing address
5129 E 30TH ST, TULSA, OK 74114-6307
(918) 740-4183

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4128
STATE LICENSE NUMBER
OK
Enumeration date
06/02/2021
Last updated
11/10/2021
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