Layne Keathly M.D.

NPI 1760802177 - Family Medicine - 207Q00000X

NPI Details
NPI 1760802177
Gender Male
Enumeration Date 04/24/2014
Last Updated 04/24/2014
Entity Type Individual
Active Over 2 years ago
Practice Location
3500 NW 56TH ST
SUITE 100
OKLAHOMA CITY OK, 73112-4529, US
Phone (405) 951-2623
Fax
Business Location
3500 NW 56TH ST
SUITE 100
OKLAHOMA CITY OK, 73112-4529, US
Phone
Fax
Toxanomy
Taxonomy Code 207Q00000X
License State Oklahoma
License Number 30642
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According to our database, Layne Keathly M.D. NPI is 1760802177, taxonomy code is 207Q00000X and license number is 30642, license state is located at Oklahoma. Layne Keathly M.D. physically located at 3500 Nw 56th St, Oklahoma City OK, 73112-4529. NPI Number Layne Keathly M.D. has the Individual type.

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1760802177 NPI number is provided on an as is basis without warranty of any kind. 1760802177 is maintained by the National Plan & Provider Enumeration System. The contents of Layne Keathly M.D. are for informational purposes only.