Organization
PAULS VALLEY URGENT CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARY S KENDRICK D.O. (PHYSICIAN / OWNER)
(918) 519-7674
Entity
Organization
Contact information
Practice address
2000 W GRANT AVE, PAULS VALLEY, OK 73075-9233
(918) 519-7674
Mailing address
2000 W GRANT AVE, PAULS VALLEY, OK 73075-9233
(918) 519-7674
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100108330A
—
OK
Enumeration date
05/29/2013
Last updated
09/27/2013
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