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Organization

VALIR HEALTH LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. KITT WAKELEY (OWNER/PARTNER)
(405) 609-3641
Entity
Organization

Contact information

Practice address
3700 N KICKAPOO AVE, SHAWNEE, OK 74804-1707
(405) 214-9808
(405) 214-9389
Mailing address
825 N BROADWAY AVE, SUITE #400, OKLAHOMA CITY, OK 73102-6012
(405) 609-3600
(405) 605-8634

Taxonomy

Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
7648
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100745870B
OK
Enumeration date
07/27/2005
Last updated
06/03/2009
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