# MEDEXPRESS PRIMARY CARE OKLAHOMA, P.C.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Ardmore Michelin Family Health Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1972099927
- **Authorized official:** JOY KIMBALL (CONTRACT MANAGER)
- **Authorized official phone:** (763) 349-6740

## Contact information

- **Practice address:** 1105 MICHELIN RD, ARDMORE, OK 73401-1085
- **Practice address phone:** (580) 224-8750
- **Practice address fax:** (580) 224-8751
- **Mailing address:** 423 FORTRESS BLVD, MORGANTOWN, WV 26508-1351
- **Mailing address phone:** (304) 225-2500
- **Mailing address fax:** (304) 985-6350

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/02/2018
- **Last updated:** 05/07/2024