Organization · Type 2 NPI
Clinic at 410 PLLC
Family Nurse Practitioner · Kingston, OK
NPI number
1144065012
Active
Practice location
410 Hwy 70
Kingston, OK 73439
Fax (888) 241-2340
Mailing address
410 Highway 70 W
Kingston, OK 73439-8237
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | None listed |
Family Nurse Practitioner: Definition to come...
About NPI 1144065012
Clinic at 410 PLLC's National Provider Identifier is 1144065012, issued on Jul 1, 2024. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Kingston, OK. The record was last updated on Feb 25, 2026.