Keith Wayne Russell in Oklahoma City - Psychiatry

Keith Wayne Russell - NPI 1730270018

Keith Wayne Russell is a Psychiatry in Oklahoma City, Oklahoma. Keith Wayne Russell practices all healthcare services and medical treatments related to Psychiatry. The NPI Number for Keith Wayne Russell is 1730270018. The last update date is 2007-07-08.

Keith Wayne Russell's current location address is 1200 Ne 13th St, Oklahoma City, Oklahoma. You can contact this provider via phone number 4055222368 and fax number 4055224120. The mailing address for Keith Wayne Russell is 1200 Ne 13th St, Oklahoma City, Oklahoma. To know further, please read the information below!

Provider Profile Detail

Provider Name Keith Wayne Russell
Address 1200 Ne 13th St, Oklahoma City, Oklahoma
Phone Number 4055222368
Fax Number 4055224120
Sole Proprietor N
Credentials D O

NPI Number Detail

NPI Number 1730270018
Provider Enumeration Date 2006-09-28
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1200 Ne 13th St
City Oklahoma City
State Oklahoma (OK)
Post Code 731523277
Phone Number 4055222368
Fax Number 4055224120

Provider's Primary Taxonomy Detail

Speciality Psychiatry
Taxonomy 2084P0800X
Licence No 19746
Definition:
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment

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FAQs about Keith Wayne Russell

What is the unique 10-digit identification code assigned to Keith Wayne Russell by the Centers for Medicare & Medicaid Services?

The Keith Wayne Russell has been issued the NPI (National Provider Identifier) 1730270018, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Keith Wayne Russell is physically located?

The Keith Wayne Russell is situated at the following address: 1200 Ne 13Th St, Oklahoma City, OK 731523277.

What is the area of specialization for Keith Wayne Russell, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Keith Wayne Russell is Psychiatry, and the corresponding taxonomy code that categorizes this area of expertise is 2084P0800X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1730270018 to Keith Wayne Russell?

The Centers for Medicare & Medicaid Services originally issued the 1730270018 to Keith Wayne Russell on 2006-09-28.

When was the Keith Wayne Russell's information last updated?

The Keith Wayne Russell's information was last updated on 2007-07-08.

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