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Contact Information

MIND AND BODY MEDICAL CLINIC
2216 NW 164TH ST STE A
EDMOND, OK73013-9078
 Phone: 405-285-4755
 Fax: 405-215-3760
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neurology

2084N0400X 13 Physician/Neurology
 

Addiction Medicine

2084A0401X 79 Physician/Addiction Medicine
 

Brain Injury Medicine

2084P0301X 86 Physician/Neuropsychiatry
 

Critical Care Medicine

364SC0200X 89 Certified Clinical Nurse Specialist
 

Neuroscience

364SN0800X 89 Certified Clinical Nurse Specialist
 

Vascular Neurology

2084V0102X 86 Physician/Neuropsychiatry
Indicates primary specialty

NPI Profile & details for MIND AND BODY MEDICAL CLINIC

NPI Number 1497223846
LBN Legal business name MIND AND BODY MEDICAL CLINIC
Authorized official KELLI LEEK - (CO-OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 11/04/2018
Last updated 11/04/2018 - About 8 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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