Mark James Keeley, R.D.,L.D.,C.D.E.
Individual provider Active NPI Registered Dietitian · Salina, OK
NPI 1215925482 · NPPES record last updated Jul 13, 2026
Key facts
- NPI
- 1215925482
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- LD333 (OK)
- Practice address
- 900 N Owen Walters Blvd
Salina, OK 74365-5003 - Phone
- (918) 434-8500
- Fax
- (918) 434-5051
- NPI assigned
- Oct 11, 2005
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 333 | OK | MD | Marriage & Family Therapist |
| LD333 | OK | MD | Registered Dietitian |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | LD333 | OK | Yes |
Addresses
Primary practice location
900 N Owen Walters Blvd
Salina, OK 74365-5003
Mailing address
406 W Delaware St
Tahlequah, OK 74464-3612
Phone (918) 456-9334
Other providers in Salina, OK
- Jake Havellana
- Healthy Steps Consulting, LLC
- Kimberly Hibbs
- Margaret Jane Huffman
- Reba Sue Hurt
- Clint Kelley
- Erica Shaye King
- Diane Elizabeth Lay
- Amanda Sarah Leonard
- Susan Jean McDowell
All providers in Salina, OK · Registered Dietitian in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 13, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.