# IMMEDIATE CARE OF OKLAHOMA L.L.C.

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

## Provider details

- **NPI number:** 1578932299
- **Authorized official:** DR. KEVIN PENWELL D.O. (COM, PRESIDENT)
- **Authorized official phone:** (405) 600-6869

## Contact information

- **Practice address:** 5700 SE 74TH ST STE 100, OKLAHOMA CITY, OK 73135-1087
- **Practice address phone:** (405) 600-6869
- **Practice address fax:** (405) 600-6978
- **Mailing address:** 5700 SE 74TH, OKC, OK 73135-1106
- **Mailing address phone:** (405) 600-6869
- **Mailing address fax:** (405) 600-6978

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QU0200X | Urgent Care Clinic/Center | 4106 | OK | Yes |

## Other

- **Enumeration date:** 09/23/2015
- **Last updated:** 06/10/2024