Kavanah Medical LLC

NPI #1548807993 in Owasso, Oklahoma

Provider Information

NPI Number: 1548807993
Entity Type: Organization
Organization Name: Kavanah Medical LLC
Primary Specialty: Family Medicine
Enumeration Date: Dec 4, 2019
Last Updated: Mar 23, 2021

Practice Location

Address: 11560 N 135TH EAST AVE
City: Owasso
State: Oklahoma
ZIP Code: 74055-5755
Phone: (918) 553-1188

Authorized Official

Name: KRISTINA M DOOLITTLE, APRN-CNP
Title: OWNER / NURSE PRACTITIONER
Phone: (918) 553-1188

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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