Organization
CRADLE TO COLLEGE HEALTHCARE, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY RENEE HARMON M.D. (PRESIDENT)
(918) 494-5170
Entity
Organization
Contact information
Practice address
6565 S YALE AVE, SUITE 201, TULSA, OK 74136-8303
(918) 494-5170
(918) 494-5196
Mailing address
6565 S YALE AVE, SUITE 201, TULSA, OK 74136-8303
(918) 494-5170
(918) 494-5196
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
19827
OK
Other
Enumeration date
08/10/2005
Last updated
08/22/2020
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