Individual
LAYNE KEATHLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1205 HEALTH CENTER PKWY STE 100, YUKON, OK 73099-6396
(405) 717-5400
(405) 717-5467
Mailing address
5300 N. INDEPENDENCE, SUITE 280, OKLAHOMA CITY, OK 73112-5556
(405) 717-5400
(405) 717-5467
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
30642
OK
Other
Enumeration date
04/24/2014
Last updated
07/21/2022
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