Clinic at 410 Pllc

NPI #1144065012 in Kingston, Oklahoma

Provider Information

NPI Number
1144065012
Entity Type
Organization
Organization Name
Clinic at 410 Pllc
Primary Specialty
Family Medicine
Enumeration Date
Jul 1, 2024
Last Updated
May 20, 2025

Practice Location

Address
410 HWY 70
ZIP Code
73439
Phone
(580) 565-9975

Authorized Official

Name
TRESSA ANTIONETTE MATCHEN, NURSE PRACTITIONER
Title
FNP-BC
Phone
(580) 565-9975

Specialties & Taxonomy Codes

Specialty
Family Medicine

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