Individual
DIANA KEYS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
603 N GRAND AVE, TAHLEQUAH, OK 74464-2302
(918) 691-3085
Mailing address
1906 N 185 RD, MOUNDS, OK 74047-6119
(918) 691-3085
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
11/30/2017
Last updated
11/30/2017
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