Dr. Lively'S Child & Family Wellness Ctr. PC
Organization Active NPI Exclusive Provider Organization · Cushing, OK
NPI 1710134580 · NPPES record last updated Aug 25, 2008
Key facts
- NPI
- 1710134580
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Exclusive Provider Organization 302F00000X
- License
- 766 (OK)
- Legal business name
- DR. LIVELY'S CHILD & FAMILY WELLNESS CTR. PC
- Practice address
- 5505 Ew 75TH Rd
Cushing, OK 74023-5555 - Phone
- (918) 225-3137
- Fax
- (918) 355-0298
- NPI assigned
- Aug 25, 2008
- Organization subpart
- Yes
- Parent organization (as reported)
- DR. K.FOR KIDS, PC
Authorized official
- Name
- Dr. Kathy Lynn Lively, PHD
- Title
- Director
- Phone
- (918) 225-3137
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Exclusive Provider Organization | 302F00000X | 766 | OK | Yes |
Addresses
Primary practice location
5505 Ew 75TH Rd
Cushing, OK 74023-5555
Mailing address
PO Box 990
Cushing, OK 74023-0990
Phone (918) 225-3137
Other names
- Dr. K. FOR KIDS, PC
Other providers in Cushing, OK
- S Joshua Denison
- Sandra Kay Dimmitt
- Clifford Doss
- David Thomas Dotson IX
- Dr. Jeffrey L Fielding
- Miranda Duncan
- Sarah Duncan
- Amber Durbin
- Courtney Gail Elliot
- Deven Elliott
All providers in Cushing, OK · Exclusive Provider Organization in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 25, 2008. 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.