OrganizationActive
Deer Creek Family Healthcare and Wellness Clinic LLC
NPI 1003227414 · Primary Care Clinic/Center · Edmond, OK
Provider details
- NPI number
- 1003227414
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Kim Knox, Nurse Practitioner / Owner(405) 812-8208
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
3801 Nw 166th St Ste 4
Edmond, OK 73012-9279
Phone: (405) 359-1122
Fax: (405) 359-1100
Approximate (ZIP-level) locationGet directions
Mailing address
3801 Nw 166th St Ste 4
Edmond, OK 73012-9279
Additional practice locations (1)
- 319 W Buena VistaCashion, OK 73016Phone: (405) 359-1122Fax: (405) 359-1100
Registry dates
- Enumerated
- 2014-05-20
- Last updated
- 2026-04-29
- Certified
- 2026-04-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.