KENT ALLEN KEITHLY

ENID, OK
NPI1821032699
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: OK  3690)
Enumeration Date2006-06-15
Last Update Date2008-04-25
Business Address
MR. KENT ALLEN KEITHLY RPT
522 W BROADWAY AVE
ENID, OK 73701-3842
Phone number: 580-237-0905
Mailing Address
MR. KENT ALLEN KEITHLY RPT
8025 N 30TH ST
ENID, OK 73701-6864
Phone number: 580-237-6847
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