John J Keveney Jr., MD

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

12666 Issued in OK

Practice address

1124 S Saint Louis Ave
Tulsa, OK 74120-5413

Phone

(918) 592-0296

Fax

(918) 592-0286

NPI assigned

Nov 28, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Tni-Kso PC

  • Nephrology Physician
  • Tulsa, OK
  • NPI 1215003314
  NPD (past)
• Tulsa Dialysis LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Tulsa, OK
  • NPI 1316909534
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1316013477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1124 S SAINT LOUIS AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741205413",
            "telephone_number": "918-592-0296",
            "fax_number": "918-592-0286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1124 S SAINT LOUIS AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741205413",
            "telephone_number": "918-592-0296",
            "fax_number": "918-592-0286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEVENEY",
        "first_name": "JOHN",
        "middle_name": "J",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "OK",
            "license": "12666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kasi Melissa Ketcher, APRN-CNP
• Desmond E Ketter, LPC
• Katherine Queen Ketter
• Pheona Ketter, REGISTERED NURSE
• Anna Maria Kettlewood, MSW, LCSW
• Key Health Tulsa, LLC
• Evan Christopher Key
• Jill Christian Key, RN
• Hannah Joy Keylada, APRN
• Hany Heshmat Keylada, MD

• Nephrology Physician in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Nephrology Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.