Organization
KEETOOWAH HEALTHCARE SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FREDO ANDERSON (EXECUTIVE)
(918) 395-6699
Entity
Organization
Contact information
Practice address
16414 W 760 RD, TAHLEQUAH, OK 74464-1675
(918) 525-9595
(918) 525-9590
Mailing address
PO BOX 1245, TAHLEQUAH, OK 74465-1245
(918) 525-9595
(918) 525-9590
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
02/27/2026
Last updated
02/27/2026
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