| Doctor Name: | MR. MARK JAMES KEELEY |
| NPI Number: | 1215925482 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | R.D.,L.D.,C.D.E. |
| License Number: | LD333 |
| Business Practice Address: | 900 N Owen Walters Blvd Salina, OK - 743655003 |
| Business Phone Number: | 9184348500 |
| Business Fax Number: | 9184345051 |
| Mailing Address: | 406 W Delaware St, TAHLEQUAH |
| State: | OK |
| Postal Code: | 744643612 |
| Phone Number: | 9184569334 |
| Fax Number: | |
| NPI Enumeration Date: | 10/11/2005 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 133V00000X |
| License Number: | LD333 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OK |
| Taxonomy Type: | Dietary & Nutritional Service Providers |
| Taxonomy Classification: | Dietitian, Registered |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |