Organization
KP MEDICAL GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARVIN LANE PEYTON MD (OWNER)
(405) 753-4994
Entity
Organization
Contact information
Practice address
2301 W I 44 SERVICE RD, SUITE 300, OKLAHOMA CITY, OK 73112-8729
(405) 607-2233
(405) 286-1303
Mailing address
2301 W I 44 SERVICE RD, SUITE 300, OKLAHOMA CITY, OK 73112-8729
(405) 607-2233
(405) 286-1303
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
OK24005
OK
Other
Enumeration date
03/26/2013
Last updated
03/05/2015
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