Keithly, Kent Allen
Keithly, Kent Allen is an sole proprietor health care provider with primary practice located at 522 W Broadway Ave , Enid OK 73701-3842. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Keithly, Kent Allen can be contacted via phone (580) 237-0905.Contact Information
Primary practice address
522 W Broadway Ave
Enid OK 73701-3842
Phone: (580) 237-0905
Fax: (580) 237-0948
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 3690 | Oklahoma |
Profile Details
NPI number | 1821032699 |
---|---|
LBN Legal business name | Keithly, Kent Allen |
Credentials | Registered Physical Therapist (RPT) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jun 15th, 2006 |
Last updated | Apr 25th, 2008 - about 16 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 | 1821032699 | NPPES |
Oklahoma | Other | P00327766 | RR MEDICARE |
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