Keley J Booth Md

LBN: Advanced Perioperative Services Pc
Keley J Booth Md is an health care organization with primary practice located at 4401 S Western Ave , Oklahoma City OK 73109-3413. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as the primary health care specialty. Advanced Perioperative Services Pc can be contacted via phone (918) 664-9892, or through Booth, Keley John via phone (405) 947-8585.

Contact Information

Primary practice address
4401 S Western Ave Oklahoma City OK 73109-3413
Phone: (918) 664-9892
Fax: (918) 664-2521
Website:
Map and Directions
Authorized official contact:
Name: Booth, Keley John Doctor of Medicine (MD)
Phone: (405) 947-8585

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X

Profile Details

NPI number 1629002886
LBN Legal business name Advanced Perioperative Services Pc
DBA Doing business as Keley J Booth Md
Authorized official Booth, Keley John Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 11th, 2006
Last updated Dec 8th, 2009 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629002886 NPPES
Oklahoma MEDICAID 200087470A

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