Organization
CAMELOT CANCER CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LYNN KARIN JENNINGS M.D. (MEDICAL DIRECTOR)
(918) 493-1011
Entity
Organization
Contact information
Practice address
6804 S CANTON AVE, SUITE 110, TULSA, OK 74136-3423
(918) 493-1011
(918) 493-1011
Mailing address
6804 S CANTON AVE, SUITE 110, TULSA, OK 74136-3423
(918) 493-1011
(918) 493-1011
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
18381
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
18381
STATE OF OKLAHOMA
OK
Enumeration date
11/18/2011
Last updated
11/18/2011
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