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KAW NATION NPI 1487752465


NPI Information

NPI: 1487752465
Provider Name: KAW NATION

Former Legal Business Name: KAW NATION

Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
3151 E. RIVER ROAD
NEWKIRK, OK
ZIP 74647
Phone: (580) 362-1039
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KAW NATION is a clinic center in Newkirk, OK. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). KAW NATION NPI is 1487752465. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Former Legal Business Name Is Kaw Nation.

The provider's business location address is:

3151 E. RIVER ROAD
NEWKIRK, OK
ZIP 74647
Phone: (580) 362-1039
Fax: (580) 362-2988

The provider's authorized official is Lea Blenz .
The authorized official title is Medical Billing/credentialing and has the following contact phone number (580) 362-1039.

The enumeration date for this NPI number is 9/21/2006 and was last updated on 3/22/2022.


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
1207Q00000XFamily MedicineNo
2363L00000XNurse PractitionerNo
3261Q00000XClinic/CenterYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1100809950BMEDICAIDOKLAHOMA

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: 5/5/2024

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