Provider Demographics
NPI:1992161327
Name:KEYES, ROBERT
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:
Last Name:KEYES
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 S MONROE ST
Mailing Address - Street 2:5
Mailing Address - City:ELK CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73644-5722
Mailing Address - Country:US
Mailing Address - Phone:580-603-4273
Mailing Address - Fax:
Practice Address - Street 1:100 S MONROE ST
Practice Address - Street 2:5
Practice Address - City:ELK CITY
Practice Address - State:OK
Practice Address - Zip Code:73644-5722
Practice Address - Country:US
Practice Address - Phone:580-603-4273
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-01-14
Last Update Date:2016-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist