Wynnewood Wellness Clinic
Organization Active NPI Rural Health Clinic/Center · Wynnewood, OK
NPI 1265149140 · NPPES record last updated Nov 1, 2022
Key facts
- NPI
- 1265149140
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Rural Health Clinic/Center 261QR1300X
- Legal business name
- WYNNEWOOD WELLNESS CLINIC
- Practice address
- 1202 E Kerr Blvd
Wynnewood, OK 73098-2054 - Phone
- (405) 473-3307
- NPI assigned
- Nov 1, 2022
- Organization subpart
- No
Authorized official
- Name
- Mrs. Karisa Jo Kennedy, APRN
- Title
- Aprn
- Phone
- (405) 473-3307
Practitioners 1
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rural Health Clinic/Center | 261QR1300X | Yes |
Addresses
Primary practice location
1202 E Kerr Blvd
Wynnewood, OK 73098-2054
Mailing address
1516 SW 82ND Cir
Oklahoma City, OK 73159-5943
Phone (405) 473-3307
Other providers in Wynnewood, OK
- Sharon D. Wheeler
- Alisha Jo Whitebird
- Wynnewood Nursing Center LLC
- Wynnewood Public Schools
- Wynnewood Urgent Care and Immediate Care Center PC
All providers in Wynnewood, OK · Rural Health Clinic/Center in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 1, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.