Conaway, Keith A.

Conaway, Keith A. is an individual health care provider with primary practice located at 2508 N Harrison St , Shawnee OK 74804-3131. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Conaway, Keith A. can be contacted via phone (405) 585-2030.

Contact Information

Primary practice address
2508 N Harrison St Shawnee OK 74804-3131
Fax: (405) 585-2859
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 19091 Oklahoma
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 19091 Oklahoma

Profile Details

NPI number 1528035284
LBN Legal business name Conaway, Keith A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 1st, 2006
Last updated Oct 15th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1528035284 NPPES
Oklahoma MEDICAID 100131940B
Oklahoma Other 239727001

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