Individual
KEOSHA RICHIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4400 N LINCOLN BLVD, OKLAHOMA CITY, OK 73105-5104
(405) 424-7711
Mailing address
1403 W MISSISSIPPI AVE, CHICKASHA, OK 73018-6617
(405) 424-7711
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/20/2022
Last updated
12/20/2022
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