Organization
IMMEDIATE CARE OF OKLAHOMA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEVIN PENWELL DO (COM)
(405) 600-6869
Entity
Organization
Contact information
Practice address
10551 SE 59TH ST, OKLAHOMA CITY, OK 73150-4302
(405) 600-6869
Mailing address
PO BOX 720790, NORMAN, OK 73070-4614
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
OK
Other
Enumeration date
04/16/2018
Last updated
04/16/2018
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