Dr. Lively's Child & Family Wellness Ctr. PC

NPI #1710134580 in Cushing, Oklahoma

Provider Information

NPI Number
1710134580
Entity Type
Organization
Organization Name
Dr. Lively's Child & Family Wellness Ctr. PC
Subpart
Yes (part of a larger organization)
Parent Organization
DR. K.FOR KIDS, PC
Primary Specialty
Exclusive Provider Organization
Enumeration Date
Aug 25, 2008
Last Updated
Aug 25, 2008

Practice Location

Address
5505 EW 75TH RD
ZIP Code
74023-5555
Phone
(918) 225-3137

Authorized Official

Name
DR. KATHY LYNN LIVELY, PHD
Title
DIRECTOR
Phone
(918) 225-3137

Specialties & Taxonomy Codes

Specialty
Exclusive Provider Organization

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