Individual
KEITH A. CONAWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2508 N HARRISON ST, SHAWNEE, OK 74804-3131
(405) 585-2030
(405) 585-2859
Mailing address
P.O. BOX 269031, OKLAHOMA CITY, OK 73126
(405) 585-2030
(405) 585-2859
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
19091
OK
208M00000X
Hospitalist Physician
19091
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100131940B
—
OK
01
—
239727001
HOSPITALIST MED PTAN
OK
Enumeration date
03/01/2006
Last updated
10/15/2018
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