# IMMEDIATE CARE OF OKLAHOMA LLC

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

## Provider details

- **NPI number:** 1154753614
- **Authorized official:** DR. KEVIN M PENWELL DO (COM/MEDICAL DIRECTOR)
- **Authorized official phone:** (405) 600-6869

## Contact information

- **Practice address:** 805 W COVELL RD, SUITE 200, EDMOND, OK 73003-2176
- **Practice address phone:** (405) 216-5373
- **Practice address fax:** (405) 216-5017
- **Mailing address:** 8001 S I 35 SERVICE RD, SUITE 106, OKLAHOMA CITY, OK 73149-2906
- **Mailing address phone:** (405) 600-6869
- **Mailing address fax:** (405) 600-6978

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QU0200X | Urgent Care Clinic/Center | 3873 | OK | Yes |

## Other

- **Enumeration date:** 08/06/2013
- **Last updated:** 08/07/2013