Organization
KAW NATION
Active
Other names
Kaw Nation, Kanza Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
LEA BLENZ (MEDICAL BILLING/CREDENTIALING)
(580) 362-1039
Entity
Organization
Contact information
Practice address
3151 E. RIVER ROAD, NEWKIRK, OK 74647
(580) 362-1039
(580) 362-2988
Mailing address
PO BOX 474, 3151 E. RIVER ROAD, NEWKIRK, OK 74647-0474
(580) 362-1039
(580) 362-2988
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261Q00000X
Clinic/Center
Primary
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100809950B
—
OK
Enumeration date
09/21/2006
Last updated
03/22/2022
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