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Organization

RIVER WOLF GYNECOLOGY & FAMILY HEALTH, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KALLI WOLF CNM, FNP-C (OWNER, CLINICIAN)
(405) 203-5382
Entity
Organization

Contact information

Practice address
2104 BANBURY LN, OKLAHOMA CITY, OK 73170-3401
(405) 203-5382
Mailing address
2104 BANBURY LN, OKLAHOMA CITY, OK 73170-3401
(405) 203-5382

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
367A00000X
Advanced Practice Midwife

Other

Enumeration date
07/15/2021
Last updated
07/15/2021
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