Organization
FAMILY 1ST HEALTH CARE OF KINGFISHER APRN-CNP, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA MEAGAN STATES APRN-CNP (OWNER/PROVIDER)
(405) 375-5222
Entity
Organization
Contact information
Practice address
1610 S MAIN ST, KINGFISHER, OK 73750-4600
(405) 375-5222
(405) 375-5234
Mailing address
1610 S MAIN ST, KINGFISHER, OK 73750-4600
(405) 375-5222
(405) 375-5234
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
R0071397
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200438900A
—
OK
Enumeration date
05/11/2012
Last updated
04/17/2013
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