| NPI | 1366476368 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HENRY JOHN KAEHLER Owner 918-762-2533 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: OK 5607) |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2020-08-22 |