Organization
REVIVE HEALTH OF OKLAHOMA LLC
Active
Other names
Revive Health Of Oklahoma
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN M BROWN DC (OWNER)
(405) 603-4901
Entity
Organization
Contact information
Practice address
4215 N CLASSEN BLVD STE 103, OKLAHOMA CITY, OK 73118-2426
(405) 673-7856
Mailing address
4215 N CLASSEN BLVD STE 103, OKLAHOMA CITY, OK 73118-2426
(405) 673-7856
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
07/03/2019
Last updated
07/03/2019
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