Choctaw Health & Wellness Clinic, LLC

NPI #1457013328 in Choctaw, Oklahoma

Provider Information

NPI Number: 1457013328
Entity Type: Organization
Organization Name: Choctaw Health & Wellness Clinic, LLC
Primary Specialty: Nurse Practitioner - Family
Enumeration Date: Oct 8, 2021
Last Updated: Oct 8, 2021

Practice Location

Address: 14890 SE 29TH ST
Address 2: SUITE 106
City: Choctaw
State: Oklahoma
ZIP Code: 73020
Phone: (405) 281-1027

Authorized Official

Name: KIMBERLY KHAN
Title: OWNER
Phone: (405) 281-1027

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nurse Practitioner - Family — Family	363LF0000X	Primary

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