Ico Primary Care, LLC
NPI #1568144996 in Choctaw, Oklahoma
Provider Information
- NPI Number
- 1568144996
- Entity Type
- Organization
- Organization Name
- Ico Primary Care, LLC
- Primary Specialty
- Clinic/Center - Primary Care
- Enumeration Date
- Aug 4, 2023
- Last Updated
- Jul 24, 2025
Practice Location
Authorized Official
- Name
- KEVIN PENWELL, DO
- Title
- CMO
- Phone
- (405) 600-6869
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Primary Care — Primary Care |
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