Ellingson, Keith Vincent

Ellingson, Keith Vincent is an individual health care provider with primary practice located at 921 Ne 13Th St , Oklahoma City OK 73104-5007. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is his primary health care specialty. Ellingson, Keith Vincent can be contacted via phone (405) 456-1000.

Contact Information

Primary practice address
921 Ne 13Th St Oklahoma City OK 73104-5007
Phone: (405) 456-1000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 209482 Oklahoma

Profile Details

NPI number 1588118418
LBN Legal business name Ellingson, Keith Vincent
Credentials PMHNP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2016
Last updated Jul 27th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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