Individual
MR. MARK JAMES KEELEY
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
R.D.,L.D.,C.D.E.
Contact information
Practice address
900 N OWEN WALTERS BLVD, SALINA, OK 74365-5003
(918) 434-8500
(918) 434-5051
Mailing address
406 W DELAWARE ST, TAHLEQUAH, OK 74464-3612
(918) 456-9334
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD333
OK
Other
Enumeration date
10/11/2005
Last updated
07/08/2007
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