MEDICARE: ALEXANDREA KECK RN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	211265	OK

General Provider Information

NPI Number	:	1831993153
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALEXANDREA KECK RN

Provider Business Mailing Address
First Line	:	2000 ANN BRANDEN BLVD
Second Line	:
City	:	NORMAN
State	:	OK
Zip	:	73071-1667
Country	:	US
Telephone Number	:	405-253-1700
Fax Number	:

Provider Business Practice Location Address
First Line	:	2000 ANN BRANDEN BLVD
Second Line	:
City	:	NORMAN
State	:	OK
Zip	:	73071-1667
Country	:	US
Telephone Number	:	405-253-1700
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/03/2025
Last Update Date	:	04/03/2025

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