| NPI | 1497223846 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLI LEEK Co Owner 405-285-4755 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology |
| Additional Taxonomies | 2084A0401X Psychiatry & Neurology Addiction Medicine |
| 2084P0301X Psychiatry & Neurology Brain Injury Medicine | |
| 2084V0102X Psychiatry & Neurology Vascular Neurology | |
| 364SC0200X Clinical Nurse Specialist Critical Care Medicine | |
| 364SN0800X Clinical Nurse Specialist Neuroscience | |
| Enumeration Date | 2018-11-04 |
| Last Update Date | 2018-11-04 |