Organization
SILVERLAKE HEALTH AND WELLNESS CENTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KAREN FAYE WALLIS DC (PRESIDENT)
(918) 331-5390
Entity
Organization
Contact information
Practice address
2401 NOWATA PL, BARTLESVILLE, OK 74006-4753
(918) 331-5390
(918) 331-5347
Mailing address
2401 NOWATA PL, BARTLESVILLE, OK 74006-4753
(918) 331-5390
(918) 331-5347
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2474
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
444546930003
BCBS
OK
01
—
5129060
AETNA
OK
Enumeration date
10/26/2006
Last updated
08/22/2020
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