Keely R Detweiler

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

7905 E US Highway 66
El Reno, OK 73036-9225

Phone

(405) 262-0202

NPI assigned

Sep 28, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Keely Kemnitz Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1317168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317168000000",
    "number": "1447533229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10308 QUEENSBURY DR",
            "city": "YUKON",
            "state": "OK",
            "postal_code": "730998277",
            "telephone_number": "405-373-1842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7905 E US HIGHWAY 66",
            "city": "EL RENO",
            "state": "OK",
            "postal_code": "730369225",
            "telephone_number": "405-262-0202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DETWEILER",
        "first_name": "KEELY",
        "middle_name": "R",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-28",
        "last_updated": "2011-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KEELY",
            "last_name": "KEMNITZ",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Rebecca Lynn Deckard
• Rebecca Decker, RN, IBCLC
• Tamara Jane Carol Dawn Degenhardt, APRN
• Brooke Deluca
• Janessa Ann Dermer
• Robert Charles Dicintio, PA-C
• John James Ditmars Jr., DPM
• Kristen Rae Dolf
• Camille Downs
• Ashley R Draper

• Counselor in El Reno, OK
• Providers in El Reno, OK by specialty
• Counselor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2011; 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.