Individual
MRS. KELLY KEYS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15481 N JARVIS RD, TAHLEQUAH, OK 74464-0233
(918) 456-5131
(918) 456-1526
Mailing address
15481 N JARVIS RD, TAHLEQUAH, OK 74464-0233
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/06/2014
Last updated
05/06/2014
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