Organization
BLACKWELL FEET PLUS, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KATHY CARTER BOSS B.A. (OWNER)
(918) 762-3601
Entity
Organization
Contact information
Practice address
118 S 1ST ST, SUITE B, BLACKWELL, OK 74631-2830
(580) 363-7255
(580) 363-7265
Mailing address
118 S 1ST ST, SUITE B, BLACKWELL, OK 74631-2830
(580) 363-7255
(580) 363-7265
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
1532
OK
Other
Enumeration date
12/31/2007
Last updated
12/31/2007
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