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Next Generation Pediatrics, LLC

Pediatrics in Oklahoma City, OK. Organization (NPI-2).

NPI number1114366341
StatusActive
Last updated in NPPESFeb 13, 2014

Details

NPI
1114366341
Entity type
Organization (NPI-2)
Legal business name
Next Generation Pediatrics, LLC
Organization subpart
No
Enumeration date
Jun 20, 2013
Last updated
Feb 13, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208000000X Pediatrics––Yes

Practice location

10400 S Western Ave
Suite 7
Oklahoma City, OK 73139-3016

Phone 405-378-2222 · Fax 405-378-2240

Mailing address

Po Box 890070
Oklahoma City, OK 73189-0070

Phone 405-378-2222 · Fax 405-378-2240

Authorized official

Kimberly Michele Kuechenmeister
Manager
4053782222

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