Keegan, Roberta Jan

Keegan, Roberta Jan is an individual health care provider with primary practice located at 6655 S Yale Ave Laureate Psychiatric Clinic And Hospital, Tulsa OK 74136-3326. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Keegan, Roberta Jan can be contacted via phone (918) 491-5681.

Contact Information

Primary practice address
6655 S Yale Ave Laureate Psychiatric Clinic And Hospital Tulsa OK 74136-3326
Phone: (918) 491-5681
Fax: (918) 491-5740
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X R0021928 Oklahoma

Profile Details

NPI number 1093786576
LBN Legal business name Keegan, Roberta Jan
Credentials ARNP, FNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 31st, 2006
Last updated Jan 31st, 2017 - about 7 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 1093786576 NPPES
Other 2048484 CIGNA BEHAVIORAL HEALTH
MEDICAID 100128890A CIGNA BEHAVIORAL HEALTH

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