Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Keetoowah Healthcare Services, LLC

Organization Family Medicine Physician · NPI 1417802224

Keetoowah Healthcare Services, LLC provides Family Medicine Physician services in Tahlequah, Oklahoma. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

16414 W 760 Rd
Tahlequah, OK 74464-1675
Phone: (918) 525-9595
Fax: (918) 525-9590
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1417802224
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Fredo Anderson — Executive · (918) 395-6699
NPI enumeratedFebruary 27, 2026
Last updated in NPPESFebruary 27, 2026
Certification dateFebruary 27, 2026
Mailing addressPo Box 1245, Tahlequah, OK 74465-1245

Other providers in Tahlequah