NPI 1639565153

Ryian Crenshaw

Practitioner Point of Service Ponca City, OK

Practice location

Address: 410 Fairview Ave, Ponca City, OK 74601-1922
Phone: (580) 749-4227

Registered specialties

Point of Service Primary

Managed Care Organizations Taxonomy 305S00000X Licence 1069 (OK)

Other Point of Service providers in Oklahoma →

Registry record

NPI: 1639565153
Entity type: Individual
Sex (as registered): Female
NPI issued: 10 Apr 2015
Record last updated: 30 Mar 2021

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.