Individual
KEITH EDWARD CLAYTON II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1011 HONOR HEIGHTS DR, MUSKOGEE, OK 74401-1318
(918) 577-3196
Mailing address
102 YORK VILLAGE DR, APT 1, MUSKOGEE, OK 74403-4843
(918) 616-4626
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/16/2011
Last updated
08/16/2011
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