Keith Alan Sullivan
Keith Alan Sullivan is a Mental Health Clinic/Center (Including Community Mental Health Center) in Oklahoma City, Oklahoma. Practices as a sole proprietor. Licensed in Oklahoma.
- Licensed in
- OK
- In the registry since
- 2010
Practice location Address checks out
5005 N Pennsylvania Ave 103Oklahoma City, OK 73112-8886
Phone: (405) 753-4269
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Specialties & licences
| Mental Health Clinic/Center (Including Community Mental Health Center) (primary) | Taxonomy 261QM0801X · Licence 77-0700929 (OK) |
|---|
Record details
| NPI number | 1396062873 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | April 23, 2010 |
| Last updated in NPPES | April 23, 2010 |
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