Organization
LEGACY SPINE AND WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIM HESTER DC (OWNER)
(385) 319-9621
Entity
Organization
Contact information
Practice address
13316 S WESTERN AVE STE R, OKLAHOMA CITY, OK 73170-7310
(385) 319-9621
Mailing address
13316 S WESTERN AVE STE R, OKLAHOMA CITY, OK 73170-7310
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
08/27/2019
Last updated
08/27/2019
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