Organization
OAK VIEW HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEVIN DOUGLAS MORAN (BUSINESS MANAGEMENT)
(918) 775-4439
Entity
Organization
Contact information
Practice address
210 EAST CHOCTAW STREET, SALLISAW, OK 74955-0429
(918) 775-4439
(918) 775-9242
Mailing address
PO BOX 429, SALLISAW, OK 74955-0429
(918) 775-4439
(918) 775-9242
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
7496
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100775190B
—
OK
Enumeration date
10/02/2006
Last updated
08/07/2008
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