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Contact Information

KAY COUNTY CLINIC COMPANY LLC
1900 N 14TH ST
PONCA CITY, OK74601-2035
 Phone: 580-765-3321
 Fax: 580-765-0341
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
 

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
 

Family

363LF0000X 50 Nurse Practitioner
 

Nurse Anesthetist, Certified Registered

367500000X 43 Certified Registered Nurse Anesthetist (CRNA)
 

Orthopaedic Surgery

207X00000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for KAY COUNTY CLINIC COMPANY LLC · (Female)

NPI # 1225072796
Status Active
Credentials
Entity Individual
Enumeration date 06/15/2006
Last updated 08/02/2021 - About 5 years ago
Sole proprietor 1 Not specified
Identifiers
  • OK Medicaid 200092160A
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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