Organization
IMMEDIATE CARE OF OKLAHOMA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN PENWELL DO (COM)
(405) 378-2197
Entity
Organization
Contact information
Practice address
11808 SOUTH MAY AVENUE, OKLAHOMA CITY, OK 73170-2560
(405) 735-2370
(405) 735-2369
Mailing address
PO BOX 721776, NORMAN, OK 73070-8360
(405) 600-6869
(405) 600-6978
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Enumeration date
04/25/2008
Last updated
04/03/2014
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