Keck, Madelyn M

Keck, Madelyn M is an individual health care provider with primary practice located at 302 N Independence Street Suite 700, Enid OK 73701-4046. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Keck, Madelyn M can be contacted via phone (580) 249-3066.

Contact Information

Primary practice address
302 N Independence Street Suite 700 Enid OK 73701-4046
Phone: (580) 249-3066
Fax: (580) 234-5385
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X R0039619 Oklahoma

Profile Details

NPI number 1922000280
LBN Legal business name Keck, Madelyn M
Credentials A.R.N.P.
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2005
Last updated Oct 8th, 2015 - about 9 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 1922000280 NPPES
Oklahoma Other 500017031 RAILROAD MEDICARE
Oklahoma Other 444342284001 RAILROAD MEDICARE
Oklahoma MEDICAID 100088110A RAILROAD MEDICARE

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