Vita Wellness LLC

NPI #1497261952 in Edmond, Oklahoma

Provider Information

NPI Number: 1497261952
Entity Type: Organization
Organization Name: Vita Wellness LLC
Primary Specialty: Family Medicine
Enumeration Date: Dec 20, 2017
Last Updated: Dec 20, 2017

Practice Location

Address: 2117 N KELLY AVE
City: Edmond
State: Oklahoma
ZIP Code: 73003-3908
Phone: (405) 726-2701

Authorized Official

Name: TODD ANTHONY KREHBIEL, MD
Title: OWNER
Phone: (405) 726-2701

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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