| Kassie Peck, Pllc | |
|
2033 W. Houston Street Broken Arrow OK 74012 | |
| (405) 537-9101 | |
| (918) 512-4823 |
| Full Name | Kassie Peck, Pllc |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 2033 W. Houston Street, Broken Arrow, Oklahoma |
| Authorized Official Name and Position | Kassie Ann Allison (OWNER) |
| Authorized Official Contact | 9184041535 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kassie Peck, Pllc 2033 W Houston Street Broken Arrow OK 74012 Ph: (405) 537-9101 | Kassie Peck, Pllc 2033 W. Houston Street Broken Arrow OK 74012 Ph: (405) 537-9101 |
| NPI Number | 1316350036 |
|---|---|
| Provider Enumeration Date | 06/10/2014 |
| Last Update Date | 07/13/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316350036 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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