Organization
RESTORE FAMILY MEDICAL CLINIC II
Active
Other names
Restore Family Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KENDALL M PHILLIPS FNP-BC (OWNER/OPERATOR)
(580) 982-6044
Entity
Organization
Contact information
Practice address
111 N 3RD ST, HUGO, OK 74743-4001
(580) 372-2819
Mailing address
111 N 3RD ST, HUGO, OK 74743-4001
(580) 372-2819
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
07/21/2023
Last updated
04/03/2025
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