person
Keith Alan Sullivan
Mental Health Clinic/Center (Including Community Mental Health Center) in Oklahoma City, Oklahoma
NPI 1396062873

Keith Alan Sullivan is a Mental Health Clinic/Center (Including Community Mental Health Center) based in Oklahoma City, OK and is specialized in Mental Health (Including Community Mental Health Center). Keith Alan Sullivan practices in Oklahoma City, OK. The NPI Number for Keith Alan Sullivan is 1396062873 and holds a License No. 77-0700929 (Oklahoma).

The current practice location address for Keith Alan Sullivan is 5005 N Pennsylvania Ave, Oklahoma City, OK and can be reached out via phone at 405-753-4269.

Location: 5005 N Pennsylvania Ave, Oklahoma City, OK, 73112-8886
person
Provider Profile Details
NPI Number
1396062873
Provider Name
Keith Alan Sullivan
Credential
Provider Entity Type
Individual
Gender
Male
Address
5005 N Pennsylvania Ave, Oklahoma City, OK, 73112-8886
Phone Number
405-753-4269
Fax Number
Provider Enumeration Date
04/23/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
5005 N Pennsylvania Ave
City
State
Zip
73112-8886
Phone Number
405-753-4269
Fax Number
person
Provider Business Mailing Address Details
Address
5005 N Pennsylvania Ave
City
State
Zip
73112-8886
Phone Number
405-753-4269
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
License No.
77-0700929 (Oklahoma)
Definition
Definition to come...
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