| Neurology Care, Pc | |
|
1115 Walnut Dr Ardmore OK 73401-2354 | |
| (580) 226-5775 | |
| (580) 226-5743 |
| Full Name | Neurology Care, Pc |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology With Special Qualifications In Child Neurology |
| Location | 1115 Walnut Dr, Ardmore, Oklahoma |
| Authorized Official Name and Position | Arvo Kanna (MD) |
| Authorized Official Contact | 5802265775 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Neurology Care, Pc 1115 Walnut Dr Ardmore OK 73401-2354 Ph: (580) 226-5775 | Neurology Care, Pc 1115 Walnut Dr Ardmore OK 73401-2354 Ph: (580) 226-5775 |
| NPI Number | 1760584577 |
|---|---|
| Provider Enumeration Date | 09/02/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760584577 | NPI | - | NPPES |
| 23163 | Other | OK | OK LICENSE # |
| 548436293001 | Other | OK | BCBS 12 DIGIT # |
| 20003140A | Medicaid | OK | |
| $$$$$$$$$ | Other | OK | SSN # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0402X | Psychiatry & Neurology - Neurology With Special Qualifications In Child Neurology | 23163 (Oklahoma) | Primary |
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