Individual
TIMOTHY AARON KEETON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CM II, PRSS
Contact information
Practice address
6333 E SKELLY DR, TULSA, OK 74135-6106
(918) 779-7216
Mailing address
619 E 7TH AVE, BRISTOW, OK 74010-2605
(918) 290-1871
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
OK
175T00000X
Peer Specialist
Primary
—
—
251B00000X
Case Management Agency
—
OK
Other
Enumeration date
06/23/2023
Last updated
07/14/2026
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