Provider Demographics
NPI:1982991709
Name:KARBER, KEITH
Entity Type:Individual
Prefix:
First Name:KEITH
Middle Name:
Last Name:KARBER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:513 CANDLEWOOD
Mailing Address - Street 2:
Mailing Address - City:ENID
Mailing Address - State:OK
Mailing Address - Zip Code:73701-6522
Mailing Address - Country:US
Mailing Address - Phone:580-548-6025
Mailing Address - Fax:
Practice Address - Street 1:513 CANDLEWOOD
Practice Address - Street 2:
Practice Address - City:ENID
Practice Address - State:OK
Practice Address - Zip Code:73701-6522
Practice Address - Country:US
Practice Address - Phone:580-548-6025
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-30
Last Update Date:2011-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor