| NPI | 1164279469 |
|---|---|
| Doing Business As | OOLOGAH PEDIATRIC CARE |
| Entity Type | Organization |
| Authorized Contact | KELSEY LILLARD Owner 469-915-4211 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics |
| Enumeration Date | 2024-05-03 |
| Last Update Date | 2024-07-01 |