| NPI | 1689888299 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHY C DAVENPORT Owner 918-423-3400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: OK R0044227) |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2020-08-22 |