Individual
DR. JOHN PAUL KEENAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2401 NW 23RD ST, SUITE 1A, OKLAHOMA CITY, OK 73107-2442
(405) 522-7176
(405) 530-3245
Mailing address
5312 ROCKPORT WAY, EDMOND, OK 73013-8639
(405) 844-6483
(405) 844-6483
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
20549
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200046330A
—
OK
Enumeration date
06/01/2005
Last updated
07/19/2010
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