# IMMEDIATE CARE OF OKLAHOMA, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104165331
- **Authorized official:** DR. KEVIN M PENWELL D.O. (COM)
- **Authorized official phone:** (405) 600-6869

## Contact information

- **Practice address:** 1265 E 33RD ST, EDMOND, OK 73013-6307
- **Practice address phone:** (405) 513-6300
- **Practice address fax:** (405) 513-6301
- **Mailing address:** PO BOX 721776, NORMAN, OK 73070-8360
- **Mailing address phone:** (405) 600-6869
- **Mailing address fax:** (405) 600-6978

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QU0200X | Urgent Care Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 02/07/2013
- **Last updated:** 02/11/2013