KEEGAN EISENHARDT NPI 1861002818

NPI Information

Keegan Eisenhardt is a peer specialist in Oklahoma City, OK. The provider is individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. Keegan Eisenhardt NPI is 1861002818. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

6405 S VILLA AVE
OKLAHOMA CITY, OK
ZIP 73159-741
Phone: (405) 905-0285

The enumeration date for this NPI number is 8/5/2020 and was last updated on 8/5/2020.

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:

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