Organization
IMMEDIATE CARE OF OKLAHOMA L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN PENWELL D.O. (COM, PRESIDENT)
(405) 600-6869
Entity
Organization
Contact information
Practice address
5700 SE 74TH ST STE 100, OKLAHOMA CITY, OK 73135-1087
(405) 600-6869
(405) 600-6978
Mailing address
5700 SE 74TH, OKC, OK 73135-1106
(405) 600-6869
(405) 600-6978
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
4106
OK
Other
Enumeration date
09/23/2015
Last updated
06/10/2024
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