Individual
JANE E KEITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
3615 SE KENTUCKY ST, BARTLESVILLE, OK 74006-2324
(918) 333-2020
(918) 333-2020
Mailing address
PO BOX 1553, OWASSO, OK 74055-1553
(312) 203-1745
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
209003970
IL
367500000X
Certified Registered Nurse Anesthetist
209003970
IL
367500000X
Certified Registered Nurse Anesthetist
Primary
R 0045073
OK
Other
Enumeration date
02/06/2006
Last updated
12/02/2015
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