Organization
KING'S COURT FAMILY MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY TALLEY (ASSISTANT MANAGER)
(918) 322-0099
Entity
Organization
Contact information
Practice address
9222 S ELWOOD AVE STE C, JENKS, OK 74037-2369
(918) 322-0099
(918) 925-9966
Mailing address
9222 S ELWOOD AVE STE C, JENKS, OK 74037-2369
(918) 322-0099
(918) 925-9966
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4427
OK
Other
Enumeration date
12/11/2009
Last updated
07/27/2021
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