KAY COUNTY CLINIC COMPANY LLC NPI 1225072796

NPI Information

NPI: 1225072796
Provider Name: KAY COUNTY CLINIC COMPANY LLC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 37D0926958

Address:
1900 N 14TH ST
PONCA CITY, OK
ZIP 74601
Phone: (580) 765-3321
Get Directions

KAY COUNTY CLINIC COMPANY LLC is a family medicine in Ponca City, OK. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. KAY COUNTY CLINIC COMPANY LLC NPI is 1225072796. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1900 N 14TH ST
PONCA CITY, OK
ZIP 74601-035
Phone: (580) 765-3321
Fax: (580) 765-0341

The provider's authorized official is Brian A Peoples .
The authorized official title is Vp, Physician Operations and has the following contact phone number (615) 465-7585.

The CLIA number assigned to this NPI record is 37D0926958 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 6/15/2006 and was last updated on 8/2/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	207L00000X	Anesthesiology		No
2	207RC0000X	Internal Medicine	Cardiovascular Disease	No
3	207X00000X	Orthopaedic Surgery		No
4	363LF0000X	Nurse Practitioner	Family	No
5	367500000X	Nurse Anesthetist, Certified Registered		No
6	207Q00000X	Family Medicine		Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	200092160A	MEDICAID	OKLAHOMA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »