Organization
KEY HEALTH TULSA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN WILSON MD (DIRECTOR OF KEY HEALTH TULSA)
(918) 488-8285
Entity
Organization
Contact information
Practice address
5522 S LEWIS AVE, SUITE 200, TULSA, OK 74105-7105
(918) 387-0700
(918) 387-0701
Mailing address
5522 S LEWIS AVE, SUITE 200, TULSA, OK 74105-7105
(918) 387-0700
(918) 387-0701
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
111N00000X
Chiropractor
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
—
225100000X
Physical Therapist
—
—
Other
Enumeration date
05/17/2016
Last updated
10/31/2016
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