Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Keetoowah Healthcare Services, LLC

Organization Family Medicine Physician · NPI 1417802224

Keetoowah Healthcare Services, LLC is a Family Medicine Physician in Tahlequah, Oklahoma. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

16414 W 760 Rd
Tahlequah, OK 74464-1675
Phone: (918) 525-9595
Fax: (918) 525-9590
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1417802224
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Fredo Anderson — Executive · (918) 395-6699
NPI enumeratedFebruary 27, 2026
Last updated in NPPESFebruary 27, 2026
Certification dateFebruary 27, 2026
Mailing addressPo Box 1245, Tahlequah, OK 74465-1245

Other providers in Tahlequah