Individual provider · Type 1 NPI

Keaton L. Roulet

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

NPI number 1912890658 Active

Practice location

1111 W 17th St
Tulsa, OK 74107-1886

Call (918) 582-1972 Map

Mailing address

3734 S Fir Blvd
Broken Arrow, OK 74011-1745

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 1912890658

Keaton L. Roulet's National Provider Identifier is 1912890658, issued on Jun 2, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Tulsa, OK. The record was last updated on Jun 2, 2025.