Individual
DR. O. KEITH ENLOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
824 W FRONTIER LN, OLATHE, KS 66061-7216
(913) 764-7060
(913) 764-8059
Mailing address
824 W FRONTIER LN, OLATHE, KS 66061-7216
(913) 764-7060
(913) 764-8059
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
0522106
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100230340A
—
KS
01
—
13360014
BLUE SHIELD
MO
Enumeration date
02/20/2006
Last updated
04/30/2008
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