Organization
DAVENPORT ADULT CARE CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY C DAVENPORT ARNP (OWNER)
(918) 423-3400
Entity
Organization
Contact information
Practice address
1609 N STRONG BLVD, SUITE 300, MCALESTER, OK 74501-1146
(918) 423-3400
(918) 420-5051
Mailing address
1609 N STRONG BLVD, SUITE 300, MCALESTER, OK 74501-1146
(918) 423-3400
(918) 420-5051
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20290
OK
Other
Enumeration date
05/10/2007
Last updated
08/22/2020
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