DR. LIVELY'S CHILD & FAMILY WELLNESS CTR. PC

CUSHING, OK
NPI1710134580
Doing Business AsDR. K. FOR KIDS, PC
Entity TypeOrganization
Authorized ContactKATHY LYNN LIVELY
Director
918-225-3137
Organization Subpart ?Yes
Primary Taxonomy302F00000X Exclusive Provider Organization
(Licence: OK  766)
Enumeration Date2008-08-25
Last Update Date2008-08-25
Business Address
DR. LIVELY'S CHILD & FAMILY WELLNESS CTR. PC
5505 EW 75TH RD
CUSHING, OK 74023-5555
Phone number: 918-225-3137
Mailing Address
DR. LIVELY'S CHILD & FAMILY WELLNESS CTR. PC
PO BOX 990
CUSHING, OK 74023-0990
Phone number: 918-225-3137