| NPI | 1144527714 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM RICHARD KENNEDY President 918-622-1994 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: OK 2099) |
| Enumeration Date | 2011-02-17 |
| Last Update Date | 2012-04-12 |