OrganizationActive
Neurology Care, PC
NPI 1760584577 · Neurology with Special Qualifications in Child Neurology Physician · Ardmore, OK
Provider details
- NPI number
- 1760584577
- Entity type
- Organization
- Primary specialty
- Neurology with Special Qualifications in Child Neurology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Arvo Kanna, MD(580) 226-5775
- License
- 23163 (OK)
Specialties & taxonomies
- Neurology with Special Qualifications in Child Neurology PhysicianPrimary2084N0402XLicense 23163 (OK)
Allopathic & Osteopathic Physicians
Practice location
1115 Walnut Dr
Ardmore, OK 73401-2354
Phone: (580) 226-5775
Fax: (580) 226-5743
Approximate (ZIP-level) locationGet directions
Mailing address
1115 Walnut Dr
Ardmore, OK 73401-2354
Registry dates
- Enumerated
- 2006-09-02
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.