Organization
OSU HEALTH CARE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIM PENICK (ASSOCIATE DIRECTOR)
(918) 561-8322
Entity
Organization
Contact information
Practice address
2345 SOUTHWEST BLVD, TULSA, OK 74107-2705
(918) 561-1131
(918) 585-9273
Mailing address
2345 SOUTHWEST BLVD, TULSA, OK 74107-2705
(918) 561-1131
(918) 585-9273
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
12/12/2006
Last updated
08/22/2020
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