Ico Primary Care LLC
NPI #1417754334 in Norman, Oklahoma
Provider Information
- NPI Number
- 1417754334
- Entity Type
- Organization
- Organization Name
- Ico Primary Care LLC
- Primary Specialty
- Clinic/Center - Primary Care
- Enumeration Date
- Feb 27, 2025
- Last Updated
- Feb 27, 2025
Practice Location
Authorized Official
- Name
- KEVIN M PENWELL, DO
- Title
- PRESIDENT, CMO
- Phone
- (405) 600-6869
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Primary Care — Primary Care |
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