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Keetoowah Healthcare Services, LLC

NPI 1417802224ActiveOrganization· Family Medicine· Tahlequah, OK

Family Medicine in Tahlequah, Oklahoma, registered in NPPES in February 2026. The authorized official on file is Fredo Anderson, Executive.

Overview

NPI1417802224
StatusActive
Entity typeOrganization
NPI issuedFeb 27, 2026
Last updated in NPPESFeb 27, 2026
Certified by providerFeb 27, 2026

Specialties and licenses

TaxonomyCodeLicenseState
Family Medicine Primary207Q00000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Family Medicine providers in Tahlequah

All Family Medicine providers in Oklahoma →