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Organization

OKLAHOMA SPINE HOSPITAL LLC

Active
Other names
SSM Health Oklahoma Spine Hospital, Oklahoma Spine Hospital
Organization subpart
No

Provider details

NPI number
Authorized official
MR. KEVIN LANE BLAYLOCK (C.E.O)
(405) 749-2700
Entity
Organization

Contact information

Practice address
14101 PARKWAY COMMONS DR, OKLAHOMA CITY, OK 73134-6012
(405) 749-2700
(405) 749-2743
Mailing address
PO BOX 803918, KANSAS CITY, MO 64180-3918
(405) 775-4241
(405) 841-9385

Taxonomy

Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
2345
OK

Other

Enumeration date
01/23/2006
Last updated
04/27/2026
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