Key Health Institute of Edmond, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

KEY HEALTH INSTITUTE OF EDMOND, LLC

Practice address

14701 N Kelley Ave
Edmond, OK 73013-3814

Phone

(405) 607-5920

NPI assigned

Nov 4, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Audra G Fox, M.D.

Title

Manager

Phone

(405) 607-5920

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1383523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434931200000",
    "number": "1699104232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "236 NW 62ND ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731187422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14701 N KELLEY AVE",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730133814",
            "telephone_number": "405-607-5920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEY HEALTH INSTITUTE OF EDMOND, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-04",
        "last_updated": "2015-06-22",
        "status": "A",
        "authorized_official_last_name": "FOX",
        "authorized_official_first_name": "AUDRA",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "405-607-5920",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": "OK",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "OK",
            "license": null,
            "primary": true
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "OK",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristin Cole Ketch, COTA/L
• Kevin Teal, M.D., P.C.
• Key Functional Restoration LLC
• Key Health Institute of Edmond, LLC
• Key Health Institute of Edmond, LLC
• Keys for Hope PLLC
• Mahmoud A Khaimi, M.D.
• Kalyn Lee Khalaf, RD
• Mohammad Fazel Khalili, MD
• Viorica Khalili, MD

• Family Medicine Physician in Edmond, OK
• Providers in Edmond, OK by specialty
• Family Medicine Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2015; 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.