NPI | 1457824161 |
---|---|
Entity Type | Organization |
Authorized Contact | KAREN LORENE KOCHELL President/Owner 918-728-8383 |
Organization Subpart ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health |
Enumeration Date | 2019-01-04 |
Last Update Date | 2019-01-04 |