Organization
OKLAHOMA STATE DEPARTMENT OF HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER HAN PHD (DIRECTOR)
(405) 426-8650
Entity
Organization
Contact information
Practice address
123 ROBERT S KERR AVE STE 1702, OKLAHOMA CITY, OK 73102-6406
(405) 426-8650
(405) 900-7598
Mailing address
123 ROBERT S KERR AVE STE 1702, OKLAHOMA CITY, OK 73102-6406
(405) 426-8650
(405) 900-7598
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100749480A
—
OK
Enumeration date
03/23/2007
Last updated
02/19/2026
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