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Individual

DR. KEITH CHAMPLIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
6161 S YALE AVE, TULSA, OK 74136-1902
(918) 494-1805
(918) 494-4573
Mailing address
6600 S YALE AVE STE 1400, TULSA, OK 74136-3331

Taxonomy

Speciality
Code
Description
License number
State
2086S0102X
Surgical Critical Care Physician
Primary
39882
OK
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
04/15/2015
Last updated
08/23/2022
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