Individual
ALICE KEITHLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2615 E RANDOLPH AVE, ENID, OK 73701-4670
(580) 234-3734
Mailing address
8025 N 30TH ST, ENID, OK 73701-6864
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
2505
KS
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
08/05/2024
Last updated
06/11/2026
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