Keegan Eisenhardt
Keegan Eisenhardt is a Peer Specialist in Oklahoma City, Oklahoma. Practices as a sole proprietor. Registered with an NPI since 2020.
- In the registry since
- 2020
Practice location Address checks out
6405 S Villa AveOklahoma City, OK 73159-2741
Phone: (405) 905-0285
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Peer Specialist (primary) | Taxonomy 175T00000X |
|---|
Record details
| NPI number | 1861002818 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | August 5, 2020 |
| Last updated in NPPES | August 5, 2020 |
| Certification date | August 5, 2020 |
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