Organization
WYNNEWOOD WELLNESS CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KARISA JO KENNEDY APRN (APRN)
(405) 473-3307
Entity
Organization
Contact information
Practice address
1202 E KERR BLVD, WYNNEWOOD, OK 73098-2054
(405) 473-3307
Mailing address
1516 SW 82ND CIR, OKLAHOMA CITY, OK 73159-5943
(405) 473-3307
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
11/01/2022
Last updated
11/01/2022
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