Organization
KINDFUL CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUSS KRENGEL (PRESIDENT)
(512) 799-2651
Entity
Organization
Contact information
Practice address
117 S BROADWAY AVE, ADA, OK 74820-5801
(580) 332-6900
Mailing address
117 S BROADWAY AVE, ADA, OK 74820-5801
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
10/07/2019
Last updated
10/07/2019
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