Organization
DR. LIVELY'S CHILD & FAMILY WELLNESS CTR. PC
Active
Parent organization
DR. K.FOR KIDS, PC
Other names
Dr. K. FOR KIDS, PC
Organization subpart
Yes
Provider details
NPI number
Legal business name
DR. K.FOR KIDS, PC
Authorized official
DR. KATHY LYNN LIVELY PHD (DIRECTOR)
(918) 225-3137
Entity
Organization
Contact information
Practice address
5505 EW 75TH RD, CUSHING, OK 74023-5555
(918) 225-3137
(918) 355-0298
Mailing address
PO BOX 990, CUSHING, OK 74023-0990
(918) 225-3137
(918) 355-0298
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
766
OK
Other
Enumeration date
08/25/2008
Last updated
08/25/2008
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