Kaw Nation

NPI #1487752465 in Newkirk, Oklahoma

Provider Information

NPI Number: 1487752465
Entity Type: Organization
Organization Name: Kaw Nation
Primary Specialty: Clinic/Center
Enumeration Date: Sep 21, 2006
Last Updated: Mar 22, 2022

Practice Location

Address: 3151 E. RIVER ROAD
City: Newkirk
State: Oklahoma
ZIP Code: 74647
Phone: (580) 362-1039

Authorized Official

Name: LEA BLENZ
Title: MEDICAL BILLING/CREDENTIALING
Phone: (580) 362-1039

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X
Nurse Practitioner	363L00000X
Clinic/Center	261Q00000X	Primary

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