KEATON JAY RODRIGUEZ NPI 1235810953

NPI Information

NPI: 1235810953
Provider Name: KEATON JAY RODRIGUEZ
Classification: Clinic/Center - 261QM0801X
Entity Type: Individual

Specialization: Mental Health (Including Community Mental Health Center)

Address:
6510 S WESTERN AVE STE 400
OKLAHOMA CITY, OK
ZIP 73139
Phone: (405) 634-1497
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Keaton Jay Rodriguez is a mental health (including community mental health center) clinic center in Oklahoma City, OK. Keaton Jay Rodriguez NPI is 1235810953. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

6510 S WESTERN AVE STE 400
OKLAHOMA CITY, OK
ZIP 73139-712
Phone: (405) 634-1497

The enumeration date for this NPI number is 7/26/2023 and was last updated on 7/26/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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