Organization
BEAIR MEDICAL GROUP, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KARA MARIE BEAIR BUTLER DO (CEO/OWNER)
(918) 809-6952
Entity
Organization
Contact information
Practice address
201 W. MAIN STREET, SUITE 101, JENKS, OK 74037
(918) 809-6952
Mailing address
2209 W 117TH ST S, JENKS, OK 74037-4348
(918) 809-6952
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
1172
OK
207R00000X
Internal Medicine Physician
Primary
5195
OK
208000000X
Pediatrics Physician
5195
OK
Other
Enumeration date
07/16/2018
Last updated
07/16/2018
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