Clifford Ryan Kissling, | |
300 Rockefeller Dr, Muskogee, OK 74401-5075 | |
(918) 684-2420 | |
(918) 502-7573 |
Full Name | Clifford Ryan Kissling |
---|---|
Gender | Male |
Speciality | Physical Medicine & Rehabilitation |
Location | 300 Rockefeller Dr, Muskogee, Oklahoma |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1548754344 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208100000X | Physical Medicine & Rehabilitation | 2019019197 (Missouri) | Secondary |
208100000X | Physical Medicine & Rehabilitation | 39479 (Oklahoma) | Primary |
Entity Name | Warren Clinic Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174582282 PECOS PAC ID: 8820900293 Enrollment ID: O20031104000252 |
Mailing Address | Practice Location Address |
---|---|
Clifford Ryan Kissling, 6600 S Yale Ave Ste 1400, Tulsa, OK 74136-3331 Ph: (918) 684-2420 | Clifford Ryan Kissling, 300 Rockefeller Dr, Muskogee, OK 74401-5075 Ph: (918) 684-2420 |
Ms. Patricia Pack, PT Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 1111 N 36th St, Muskogee, OK 74401 Phone: 918-683-4621 Fax: 918-683-4002 | |
Dr. Karissa Marie Misner, DO Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 300 Rockefeller Dr, Rehabilitation Unit, Muskogee, OK 74401 Phone: 918-684-2522 Fax: 918-684-2493 | |
Alicia White, PTA Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 2244 E Shawnee Rd, Muskogee, OK 74403 Phone: 918-684-9999 Fax: 888-663-4223 | |
Dr. Meagan Scott, DPT Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 1111 N 36th St, Muskogee, OK 74401 Phone: 918-683-4621 Fax: 918-683-4002 | |
Dr. James Davidson Harris, D.O. Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 1011 Honor Heights Dr, Muskogee, OK 74401 Phone: 918-683-3261 | |
Miss Chelsea Holmes, OTA Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 1805 N York St Ste H, Muskogee, OK 74403 Phone: 918-912-2796 | |
Dr. Andrew Russell Olshen, MD Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 333 S 36th St, Muskogee, OK 74401 Phone: 918-682-2815 Fax: 918-682-8643 |