Keith Michael Wear, M.S., A.T.C., L.A.T.

NPI #1043614878 in Alva, Oklahoma

Provider Information

NPI Number: 1043614878
Entity Type: Individual
Name: Keith Michael Wear, M.S., A.T.C., L.A.T.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Contractor
Credential: M.S., A.T.C., L.A.T.
Enumeration Date: Oct 22, 2014
Last Updated: Jun 28, 2023

Practice Location

Address: 709 OKLAHOMA BLVD
City: Alva
State: Oklahoma
ZIP Code: 73717-2749
Phone: (580) 327-8627

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Contractor	171W00000X	Primary

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