| Traditions Health Care Of Edmond, Llc | |
|
825 S Kelly Ave Ste 170 Edmond OK 73003-5535 | |
| (405) 330-5500 | |
| Not Available |
| Full Name | Traditions Health Care Of Edmond, Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 825 S Kelly Ave Ste 170, Edmond, Oklahoma |
| Authorized Official Name and Position | John Kerndl (CFO & SECRETARY) |
| Authorized Official Contact | 9797046547 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Traditions Health Care Of Edmond, Llc 6840 Carothers Pkwy Ste 550 Franklin TN 37067-8002 Ph: (979) 704-4657 | Traditions Health Care Of Edmond, Llc 825 S Kelly Ave Ste 170 Edmond OK 73003-5535 Ph: (405) 330-5500 |
| NPI Number | 1376260349 |
|---|---|
| Provider Enumeration Date | 10/20/2022 |
| Last Update Date | 06/24/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376260349 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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