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Organization
CARE PATHWAYS, LLC
Active
Organization
CARE PATHWAYS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN KELLY (MANAGER OF LLC)
(405) 928-2727
Entity
Organization
Contact information
Practice address
330 S 5TH ST STE 206, ENID, OK 73701-5861
(405) 928-2727
(405) 928-2720
Mailing address
2910 ADAMS RD STE 110, NORMAN, OK 73069-1023
(405) 928-2727
(405) 928-2720
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
—
NULL
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NONE
NONE
—
Enumeration date
02/10/2021
Last updated
04/01/2024
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