SEMINOLE CLINIC PLLC NPI 1215336193

NPI Information

  • NPI: 1215336193
  • Provider Name: SEMINOLE CLINIC PLLC
  • Classification: Clinic/Center - 261QP2300X
  • Specialization: Primary Care
  • Entity Type: Organization
  • Doing Business As: SEMINOLE CLINIC
  • Address: 2403 W WRANGLER BLVD
    STE A
    SEMINOLE, OK
    ZIP 74868
  • Phone: (405) 382-4939

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NPI Details

SEMINOLE CLINIC PLLC is a primary care clinic center in Seminole, OK. SEMINOLE CLINIC PLLC NPI is 1215336193. The provider is registered as an organization entity type.
The provider Is Doing Business As Seminole Clinic.

The provider's business location address is:

2403 W WRANGLER BLVD
STE A
SEMINOLE, OK
ZIP 74868-900
Phone: (405) 382-4939
Fax: (405) 382-4947

The provider's authorized official is Randall Leon Kemp .
The authorized official title is Sole Member and has the following contact phone number (405) 382-4939.

The enumeration date for this NPI number is 8/18/2014 and was last updated on 8/18/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QP2300XClinic/CenterPrimary Care2875OKLAHOMAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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