Individual provider · NPI-1

Keith Van Chlouber, ATC

Specialist/Technologist, Athletic Trainer · Oklahoma City, OK

NPI number1831153931
StatusActive
Last updated in NPPESJul 13, 2026

Details

NPI
1831153931
Entity type
Individual (NPI-1)
Name
Keith Van Chlouber
Credential
ATC
Sex
Male
Sole proprietor
No
Enumeration date
Apr 14, 2006
Last updated
Jul 13, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2255A2300X Specialist/Technologist, Athletic Trainerat 103OKYes

Practice location

8100 S Walker Ave
Building B
Oklahoma City, OK 73139-9402

Phone 405-602-6565 · Fax 405-602-6587

Mailing address

8100 S Walker Ave
Building B
Oklahoma City, OK 73139-9402

Phone 405-602-6565 · Fax 405-602-6587

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Specialist/Technologist, Athletic Trainer providers in Oklahoma City, OK