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
Phone: (405) 585-2030
Fax: (405) 585-2859
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1528035284 | NPPES |
Oklahoma | MEDICAID | 100131940B | |
Oklahoma | Other | 239727001 |
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