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

Address
1664 S CHOCTAW RD STE 101
ZIP Code
73020-6767
Phone
(405) 281-2144

Authorized Official

Name
KEVIN PENWELL, DO
Title
CMO
Phone
(405) 600-6869

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Primary CarePrimary Care

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