Organization
ICARE PRIMARY & WELLNESS CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAMI SCRUGGS (CHIEF OPERATING OFFICER)
(405) 658-8904
Entity
Organization
Contact information
Practice address
4823 S WESTERN AVE, OKLAHOMA CITY, OK 73109-3835
(405) 673-4045
Mailing address
1145 W I 240 SERVICE RD # BDLF10, OKLAHOMA CITY, OK 73139-2171
(405) 658-8904
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Enumeration date
07/21/2021
Last updated
07/21/2021
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