Organization · Type 2 NPI
Kassie Peck, PLLC
Multi-Specialty Clinic/Center · Broken Arrow, OK
NPI number
1316350036
Active
Practice location
2033 W. Houston Street
Broken Arrow, OK 74012
Fax (918) 512-4823
Mailing address
2033 W Houston Street
Broken Arrow, OK 74012
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Multi-Specialty Clinic/Center Primary | 261QM1300X | None listed |
Multi-Specialty Clinic/Center: Definition to come...
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About NPI 1316350036
Kassie Peck, PLLC's National Provider Identifier is 1316350036, issued on Jun 10, 2014. The primary taxonomy on file is Multi-Specialty Clinic/Center (261QM1300X), and the practice location is in Broken Arrow, OK. The record was last updated on Jul 13, 2021.