Vibrant Health Aprn Pc

NPI 1811267891 - Nurse Practitioner - 363LF0000X

NPI Details
NPI 1811267891
Enumeration Date 01/06/2012
Last Updated 07/05/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name KENNETH P KENNETH
Position OWNER
Phone (918) 948-2863
Fax
Practice Location
2121 S COLUMBIA AVE STE 300
TULSA OK, 74114-3501, US
Phone (918) 948-2863
Fax
Business Location
2121 S COLUMBIA AVE
STE 300
TULSA OK, 74114-3501, US
Phone (918) 591-3567
Fax
Toxanomy
Taxonomy Code 363LF0000X
License State Oklahoma
License Number 50761
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According to our database, Vibrant Health Aprn Pc NPI is 1811267891, taxonomy code is 363LF0000X and license number is 50761, license state is located at Oklahoma. Vibrant Health Aprn Pc physically located at 2121 S Columbia Ave Ste 300, Tulsa OK, 74114-3501. NPI Number 1033115704 has the healthcare provider type.

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1811267891 NPI number is provided on an as is basis without warranty of any kind. 1811267891 is maintained by the National Plan & Provider Enumeration System. The contents of Vibrant Health Aprn Pc are for informational purposes only.