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Organization

KEY HEALTH INSTITUTE OF EDMOND, LLC

Active
Other names
KHIE Anesthesia and Pain Management
Organization subpart
No

Provider details

NPI number
Authorized official
DEBRA JOHNSON (COO)
(405) 775-4227
Entity
Organization

Contact information

Practice address
14100 PARKWAY COMMONS DR, SUITE 100, OKLAHOMA CITY, OK 73134-6103
(405) 775-4241
(405) 841-9385
Mailing address
236 NW 62ND ST, OKLAHOMA CITY, OK 73118-7422
(405) 775-4227

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
208VP0014X
Interventional Pain Medicine Physician
Primary

Other

Enumeration date
06/26/2015
Last updated
06/26/2015
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