NPI 1003091810

Blackwell Feet Plus, L.L.C.

Organisation Clinic/Center Blackwell, OK

Practice location

Address: 118 S 1st St Suite B, Blackwell, OK 74631-2830
Phone: (580) 363-7255
Fax: (580) 363-7265

Authorised official

Name: Kathy Carter Boss
Title: Owner
Phone: (918) 762-3601

Registered specialties

Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261Q00000X Licence 1532 (OK)

Other Clinic/Center providers in Oklahoma →

Registry record

NPI: 1003091810
Entity type: Organization
NPI issued: 31 Dec 2007
Record last updated: 31 Dec 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.