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Individual

ROBERT C KEITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1900 W 2ND ST, STE B, ELK CITY, OK 73644-4327
(580) 225-1086
(580) 225-2429
Mailing address
1900 W 2ND ST, STE B, ELK CITY, OK 73644-4327
(580) 225-1086
(580) 225-2429

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
OK13625
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100000160A
OK
Enumeration date
07/07/2005
Last updated
02/18/2014
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