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Individual

THOMAS LYNN KEITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
5700 NW 132ND ST, OKLAHOMA CITY, OK 73142-4430
(405) 843-5710
(405) 843-5720
Mailing address
5700 NW 132ND ST, OKLAHOMA CITY, OK 73142-4430
(405) 843-5710
(405) 843-5720

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
597
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
650015937
RAILROAD MEDICARE
OK
Enumeration date
07/07/2006
Last updated
10/26/2010
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