Provider Demographics
NPI:1609061332
Name:KEITH & ASSOCIATES, INC
Entity Type:Organization
Organization Name:KEITH & ASSOCIATES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:KEITH
Authorized Official - Suffix:
Authorized Official - Credentials:MPH RD/LD
Authorized Official - Phone:918-585-3045
Mailing Address - Street 1:115 W 3RD ST STE 800
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74103-3421
Mailing Address - Country:US
Mailing Address - Phone:918-585-3045
Mailing Address - Fax:918-585-3047
Practice Address - Street 1:115 W 3RD ST STE 800
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74103-3421
Practice Address - Country:US
Practice Address - Phone:918-585-3045
Practice Address - Fax:918-585-3047
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-06
Last Update Date:2012-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK611261QM2500X
332BP3500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BP3500XSuppliersDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition
No261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty