Tucker, Keelie Renee

Tucker, Keelie Renee is an individual health care provider with primary practice located at 620 S Madison St Suite 203, Enid OK 73701-7273. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Tucker, Keelie Renee can be contacted via phone (580) 213-9760.

Contact Information

Primary practice address
620 S Madison St Suite 203 Enid OK 73701-7273
Phone: (580) 213-9760
Fax: (580) 213-9769
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X P0146 Texas
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 28642 Oklahoma

Profile Details

NPI number 1851586721
LBN Legal business name Tucker, Keelie Renee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 12th, 2007
Last updated Feb 12th, 2018 - about 8 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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Identifiers

StateTypeNumberIssuer
All States NPI 1851586721 NPPES
Oklahoma MEDICAID 200345390A

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