Individual provider · Type 1 NPI

Keith Edward Clayton Ii

Student in an Organized Health Care Education/Training Program · Muskogee, OK

NPI number 1639458029 Active

Practice location

1011 Honor Heights Dr
Muskogee, OK 74401-1318

Call (918) 577-3196 Map

Mailing address

102 York Village Dr, Apt 1
Muskogee, OK 74403-4843

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1639458029

Keith Edward Clayton Ii's National Provider Identifier is 1639458029, issued on Aug 16, 2011. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Muskogee, OK. The record was last updated on Aug 16, 2011.