# ADVANCED FAMILY CARE, PLLC

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

## Provider details

- **NPI number:** 1104670884
- **Authorized official:** KENNETH REED MD (OWNER)
- **Authorized official phone:** (918) 921-5701

## Contact information

- **Practice address:** 9320 S MINGO RD, TULSA, OK 74133-5710
- **Practice address phone:** (918) 901-9701
- **Practice address fax:** (918) 901-9702
- **Mailing address:** 9320 S MINGO RD, TULSA, OK 74133-5710
- **Mailing address phone:** (918) 921-5701
- **Mailing address fax:** (918) 901-9702

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 363A00000X | Physician Assistant | — | NULL | — |
| 363A00000X | Physician Assistant | — | — | — |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 04/17/2024
- **Last updated:** 05/18/2024