Organization
KEITH & ASSOCIATES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDRA KEITH MPH RD/LD (PRESIDENT)
(918) 585-3045
Entity
Organization
Contact information
Practice address
115 W 3RD ST STE 800, TULSA, OK 74103-3421
(918) 585-3045
(918) 585-3047
Mailing address
115 W 3RD ST STE 800, TULSA, OK 74103-3421
(918) 585-3045
(918) 585-3047
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
611
OK
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
Primary
—
—
Other
Enumeration date
09/06/2007
Last updated
02/10/2012
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