Organization
FOUNDATION BARIATRIC HOSPITAL OF OKLAHOMA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES RILEY KELLER PH.D. (DIRECTOR, BEHAVIORAL HEALTH)
(405) 359-2481
Entity
Organization
Contact information
Practice address
1800 RENAISSANCE BLVD, EDMOND, OK 73013-3023
(405) 359-2481
(405) 359-2487
Mailing address
PO BOX 20553, OKLAHOMA CITY, OK 73156-0553
(405) 359-2481
(405) 359-2487
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
854
OK
Other
Enumeration date
02/14/2007
Last updated
08/22/2020
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