Provider Demographics
NPI:1316472855
Name:KEELS, ANGELICA
Entity type:Individual
Prefix:MS
First Name:ANGELICA
Middle Name:
Last Name:KEELS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2536 CASHION PL
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73112-7610
Mailing Address - Country:US
Mailing Address - Phone:405-875-5351
Mailing Address - Fax:
Practice Address - Street 1:2536 CASHION PL
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73112-7610
Practice Address - Country:US
Practice Address - Phone:405-875-5351
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-04-21
Last Update Date:2017-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator