Organization
IMMEDIATE CARE OF OKLAHOMA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN M PENWELL DO (COM/MEDICAL DIRECTOR)
(405) 600-6869
Entity
Organization
Contact information
Practice address
805 W COVELL RD, SUITE 200, EDMOND, OK 73003-2176
(405) 216-5373
(405) 216-5017
Mailing address
8001 S I 35 SERVICE RD, SUITE 106, OKLAHOMA CITY, OK 73149-2906
(405) 600-6869
(405) 600-6978
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
3873
OK
Other
Enumeration date
08/06/2013
Last updated
08/07/2013
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