OrganizationActive
Choctaw Health & Wellness Clinic, LLC
NPI 1457013328 · Family Nurse Practitioner · Choctaw, OK
Provider details
- NPI number
- 1457013328
- Entity type
- Organization
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Kimberly Khan, Owner(405) 281-1027
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
14890 Se 29th St
Suite 106
Choctaw, OK 73020
Phone: (405) 281-1027
Fax: (405) 281-1006
Approximate (ZIP-level) locationGet directions
Mailing address
14890 Se 29th St
Choctaw, OK 73020
Registry dates
- Enumerated
- 2021-10-08
- Last updated
- 2021-10-08
- Certified
- 2021-10-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.