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Organization
ARDMORE FAMILY HEALTH CARE, PLLC
Active
Organization
ARDMORE FAMILY HEALTH CARE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN J SHELTON MD (DIRECTOR)
(580) 223-1313
Entity
Organization
Contact information
Practice address
812 12TH AVE NW, ARDMORE, OK 73401-5708
(580) 223-1313
(580) 223-1629
Mailing address
812 12TH AVE NW, ARDMORE, OK 73401-5708
(580) 223-1313
(580) 223-1629
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
21765
OK
Other
Enumeration date
08/02/2006
Last updated
08/22/2020
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