NPI 1174171714

Legacy Spine and Wellness

Organisation General Practice Physician Oklahoma City, OK

Practice location

Address: 13316 S Western Ave STE R, Oklahoma City, OK 73170-7310
Phone: (385) 319-9621

Authorised official

Name: Kim Hester
Title: Owner
Phone: (385) 319-9621

Registered specialties

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X

Other General Practice providers in Oklahoma →

Registry record

NPI: 1174171714
Entity type: Organization
NPI issued: 27 Aug 2019
Record last updated: 27 Aug 2019

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.