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Peter Keupen, PA-C

NPI 1205955432 · on the registry since 2007

Practice

Address: 6908 E Reno Ave
Midwest City, OK 73110
Phone: (405) 737-6871
Organisation at this address: Ganga M Pujari
Avinash C. Vyas Md
Heritage Park Pharmacy, Llc
Heritage Park Medical Center Inc
Ssm Health Care Of Oklahoma, Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 5

Registry record

Primary taxonomy: Medical Physician Assistant
363AM0700X
Licence states on file: OK
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2013-09-12

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma