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MIND AND BODY MEDICAL CLINIC NPI 1497223846


NPI Information

NPI: 1497223846
Provider Name: MIND AND BODY MEDICAL CLINIC
Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Organization

Specialization: Neurology

Address:
2216 NW 164TH ST STE A
EDMOND, OK
ZIP 73013
Phone: (405) 285-4755
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MIND AND BODY MEDICAL CLINIC is a neurology psychiatry neurology in Edmond, OK. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. MIND AND BODY MEDICAL CLINIC NPI is 1497223846. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

2216 NW 164TH ST STE A
EDMOND, OK
ZIP 73013-078
Phone: (405) 285-4755
Fax: (405) 215-3760

The provider's authorized official is Kelli Leek .
The authorized official title is Co-owner and has the following contact phone number (405) 285-4755.

The enumeration date for this NPI number is 11/4/2018 and was last updated on 11/4/2018.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12084A0401XPsychiatry & NeurologyAddiction MedicineNo
22084P0301XPsychiatry & NeurologyBrain Injury MedicineNo
32084V0102XPsychiatry & NeurologyVascular NeurologyNo
4364SC0200XClinical Nurse SpecialistCritical Care MedicineNo
5364SN0800XClinical Nurse SpecialistNeuroscienceNo
62084N0400XPsychiatry & NeurologyNeurologyYes

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: 4/28/2024

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