Organization
GKS CALERA CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN KHOURY DO (OWNER)
(580) 775-2332
Entity
Organization
Contact information
Practice address
213 E MAIN ST STE 200, CALERA, OK 74730-2116
(580) 434-6800
Mailing address
213 E MAIN ST STE 200, CALERA, OK 74730-2116
(580) 434-6800
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
07/23/2021
Last updated
07/23/2021
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