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Organization

PROACTIVE MD OK LLC

Active
Other names
CFI Woodward Health Center
Organization subpart
No

Provider details

NPI number
Authorized official
MARK ALLEN KEMBLE MD (CHIEF MEDICAL OFFICER)
(864) 640-8355
Entity
Organization

Contact information

Practice address
1000 TERRA DR, WOODWARD, OK 73801-9596
(580) 290-1810
Mailing address
86 VILLA RD STE 100, GREENVILLE, SC 29615-3052
(864) 501-0751

Taxonomy

Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary

Other

Enumeration date
07/30/2021
Last updated
06/29/2026
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