| Ssm Health Medical Group Shawnee Kickapoo Clinic | |
|
3700 N Kickapoo Ave Shawnee OK 74804-1707 | |
| (405) 273-6383 | |
| (405) 273-3748 |
| Full Name | Ssm Health Medical Group Shawnee Kickapoo Clinic |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 3700 N Kickapoo Ave, Shawnee, Oklahoma |
| Authorized Official Name and Position | Shasta Rene Manuel (VICE PRESIDENT - FINANCE) |
| Authorized Official Contact | 4052727282 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ssm Health Medical Group Shawnee Kickapoo Clinic 3700 N Kickapoo Ave Shawnee OK 74804-1707 Ph: (405) 273-6383 | Ssm Health Medical Group Shawnee Kickapoo Clinic 3700 N Kickapoo Ave Shawnee OK 74804-1707 Ph: (405) 273-6383 |
| NPI Number | 1093395618 |
|---|---|
| Provider Enumeration Date | 04/08/2021 |
| Last Update Date | 03/27/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093395618 | NPI | - | NPPES |
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› Verified 8 days ago
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