Organization · Type 2 NPI

Kickingbird Family Medicine PLLC

Clinic/Center · Edmond, OK

NPI number 1699963264 Active

Practice location

2820 N Kelly Ave, Suite 200
Edmond, OK 73003-3007

Fax (405) 330-6231

Mailing address

PO Box 31266
Edmond, OK 73003-0022

Specialties and licenses

TaxonomyCodeLicense
Clinic/Center Primary 261Q00000XNone listed

Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

3 other providers at this address

Other clinic/center providers in Edmond

See all in Edmond →

About NPI 1699963264

Kickingbird Family Medicine PLLC's National Provider Identifier is 1699963264, issued on Oct 9, 2007. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Edmond, OK. The record was last updated on Feb 4, 2008.