Keith L Stanley is a Sports Medicine in Tulsa, Oklahoma. Keith L Stanley practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for Keith L Stanley is 1992773188. The last update date is 2007-11-01.
Keith L Stanley's current location address is 4802 S 109th E Avenue, Tulsa, Oklahoma. You can contact this provider via phone number 9183921400 and fax number 9183921488. The mailing address for Keith L Stanley is 4802 S 109th E Avenue, Tulsa, Oklahoma. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Keith L Stanley |
|---|---|
| Address | 4802 S 109th E Avenue, Tulsa, Oklahoma |
| Phone Number | 9183921400 |
| Fax Number | 9183921488 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1992773188 |
|---|---|
| Provider Enumeration Date | 2006-03-14 |
| Last Updated Date | 2007-11-01 |
Provider Mailing Address Detail
| Address | 4802 S 109th E Avenue |
|---|---|
| City | Tulsa |
| State | Oklahoma (OK) |
| Post Code | 74146 |
| Phone Number | 9183921400 |
| Fax Number | 9183921488 |
Provider's Primary Taxonomy Detail
| Speciality | Sports Medicine |
|---|---|
| Taxonomy | 207Qs0010X |
| Licence No | 15232 |
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Definition: A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| P00155592 | OK | RAILROAD MEDICARE |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Keith L Stanley by the Centers for Medicare & Medicaid Services?
The Keith L Stanley has been assigned the NPI (National Provider Identifier) 1992773188 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of Keith L Stanley?
The Keith L Stanley is situated at 4802 S 109Th E Avenue, in the city of Tulsa, state of OK, with the zip code 74146.
What is the Keith L Stanley's area of specialization and corresponding taxonomy classification?
The Keith L Stanley's specialty field is Sports Medicine, and it falls under the taxonomy code 207Qs0010X, which categorizes healthcare providers based on their specialties.
On what date did the Keith L Stanley receive the assignment of its 1992773188 from the Centers for Medicare & Medicaid Services?
The Keith L Stanley was issued its 1992773188 by the Centers for Medicare & Medicaid Services on 2006-03-14.
As of what date were the details related to Keith L Stanley most recently updated or revised?
The information pertaining to Keith L Stanley, including its address, specialty, and other relevant details, was last updated or revised on 2007-11-01.
NPI Number: 1356344279
Address: Mount St. Mary's Hospital Laboratory, Lewiston, NY