KEELY MCGOUGH DNP NPI 1578162921

NPI Information

  • NPI: 1578162921
  • Provider Name: KEELY MCGOUGH, DNP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • Address: 4000 W RENO AVE
    OKLAHOMA CITY, OK
    ZIP 73107
  • Phone: (405) 632-6688

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NPI Details

Keely Mcgough, DNP is a family nurse practitioner in Oklahoma City, OK. Keely Mcgough, DNP NPI is 1578162921. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4000 W RENO AVE
OKLAHOMA CITY, OK
ZIP 73107-632
Phone: (405) 632-6688

The enumeration date for this NPI number is 10/17/2020 and was last updated on 9/30/2021.

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
1363LF0000XNurse PractitionerFamilyR0117106OKLAHOMAYes
2207Q00000XFamily MedicineG431360CALIFORNIANo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1770172743MEDICAIDCALIFORNIA
2R0117106OTHEROKLAHOMAAPRN-CNP LICENSE
31801808357MEDICAIDCALIFORNIA
422927742OTHEROKLAHOMANCSBN

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: 11/21/2025

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