Organization
THE DOWNTOWN CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENDRA ANN SPEIGHT (APRN-CNP)
(405) 275-1457
Entity
Organization
Contact information
Practice address
104 NORTH OKLAHOMA AVE, SHAWNEE, OK 74801-7005
(405) 275-1457
Mailing address
104 NORTH OKLAHOMA AVE, SHAWNEE, OK 74801-7005
(405) 275-1457
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
69925
OK
Other
Enumeration date
11/15/2012
Last updated
11/16/2012
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