SearchOklahoma2255A2300X

Keenan Ervin, ATC

NPI 1235644725 · on the registry since 2017

Practice

Address
425 W University Blvd
Durant, OK 74701
Phone
(580) 745-3028
Organisation at this address
Regional University System Of Oklahoma
Inferred from a shared address, not stated in the registry.
Clinicians at this address
4

Registry record

Primary taxonomy
2255A2300X
2255A2300X
Licence states on file
OK
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2017-12-06

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