Organization
SEMINOLE CLINIC PLLC
Active
Other names
Seminole Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RANDALL LEON KEMP DO (SOLE MEMBER)
(405) 382-4939
Entity
Organization
Contact information
Practice address
2403 W WRANGLER BLVD, STE A, SEMINOLE, OK 74868-1900
(405) 382-4939
(405) 382-4947
Mailing address
2403 W WRANGLER BLVD, STE A, SEMINOLE, OK 74868-1900
(405) 382-4939
(405) 382-4947
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
2875
OK
Other
Enumeration date
08/18/2014
Last updated
08/18/2014
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