Organization
KAVANAH MEDICAL LLC
Active
Other names
Rx Health & Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTINA M DOOLITTLE APRN-CNP (OWNER / NURSE PRACTITIONER)
(918) 553-1188
Entity
Organization
Contact information
Practice address
11560 N 135TH EAST AVE, OWASSO, OK 74055-5755
(918) 553-1188
(918) 553-1189
Mailing address
PO BOX 844, OWASSO, OK 74055-0844
(918) 553-1188
(918) 553-1189
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
95706
OKLAHOMA NURSING BOARD
OK
Enumeration date
12/04/2019
Last updated
03/23/2021
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