Paige Susanna Keithly, PH.D.

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

3009 Issued in OK

Practice address

8025 N 30TH St
Enid, OK 73701-6864

Phone

(580) 237-6847

NPI assigned

Dec 12, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1197417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205971200000",
    "number": "1801079959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8025 N 30TH ST",
            "city": "ENID",
            "state": "OK",
            "postal_code": "737016864",
            "telephone_number": "580-237-6847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8025 N 30TH ST",
            "city": "ENID",
            "state": "OK",
            "postal_code": "737016864",
            "telephone_number": "580-237-6847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEITHLY",
        "first_name": "PAIGE",
        "middle_name": "SUSANNA",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-12-12",
        "last_updated": "2008-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "OK",
            "license": "325",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OK",
            "license": "3009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• KD Chiropractic
• Madelyn M Keck, A.R.N.P.
• Keithly Rehab PLLC
• Alice Keithly
• Kent Allen Keithly, RPT
• Tiffany A Keitz, S.L.P.
• David Edward Keller, M.D.
• Lauren Keller
• Austin Kelly
• Dena Ernestine Kemp, MSW, CADC, CPS, BHRS

• Speech-Language Pathologist in Enid, OK
• Providers in Enid, OK by specialty
• Speech-Language Pathologist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2008; 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.