Keith Alan Mitchell

Individual provider Active NPI Case Manager/Care Coordinator · Nichols Hills, OK

NPI 1043843030 · NPPES record last updated Feb 18, 2020

Key facts

NPI
1043843030
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
1309 Kenilworth Rd
Nichols Hills, OK 73120-1410
Phone
(405) 850-1378
NPI assigned
Feb 18, 2020
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Yes

Addresses

Primary practice location

1309 Kenilworth Rd
Nichols Hills, OK 73120-1410

Mailing address

1309 Kenilworth Rd
Nichols Hills, OK 73120-1410
Phone (405) 850-1378

Other providers in Nichols Hills, OK

All providers in Nichols Hills, OK · Case Manager/Care Coordinator in Oklahoma

Sources for this page

Verify at the official NPI Registry.