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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KEEGAN EISENHARDT

Active Sole Proprietor

KEEGAN EISENHARDT is a Peer Specialist healthcare provider located in OKLAHOMA CITY, Oklahoma. NPI 1861002818 is currently active in the NPPES registry. Verify at CMS.

Peer Specialist · OKLAHOMA CITY, OK

Registration Details

NPI Number
1861002818
Provider Type
Individual
Gender
Male
NPI Issued
Aug 5, 2020 (5.9816547410264 yrs)
Last Updated
Aug 5, 2020
Sole Proprietor
Yes

Practice Information

Address
6405 S VILLA AVE
OKLAHOMA CITY, OK, 731592741
Browse OK providers · Browse ZIP 73159
Phone
4059050285
Primary Specialty
Peer Specialist
175T00000X

Other Peer Specialist Providers in OKLAHOMA CITY, OK

Name Credential NPI
LAKEISHA DENEICE SIMPSON 1790921518
SHERI HOLLAND 1063655025
MS. DEBRA ANN GENTRY CADC 1003146036
TIFFANY HENLEY 1780916239
MRS. JENNIFER LYNN SHEA 1588979108
MISS LAQUITA DAWN ADAMS A.S., B.S, M.A.T 1881995934
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.