| First Priority Medical Clinic Llc | |
|
9820 E 41st St Ste 302 Tulsa OK 74146-3651 | |
| (918) 398-9663 | |
| (918) 398-9673 |
| Full Name | First Priority Medical Clinic Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 9820 E 41st St Ste 302, Tulsa, Oklahoma |
| Authorized Official Name and Position | Amy Beverley (OWNER) |
| Authorized Official Contact | 9182098658 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| First Priority Medical Clinic Llc 9820 E 41st St Ste 302 Tulsa OK 74146-3651 Ph: (918) 398-9663 | First Priority Medical Clinic Llc 9820 E 41st St Ste 302 Tulsa OK 74146-3651 Ph: (918) 398-9663 |
| NPI Number | 1376134460 |
|---|---|
| Provider Enumeration Date | 02/01/2021 |
| Last Update Date | 11/08/2023 |
| Medicare PECOS PAC ID | 6901213065 |
|---|---|
| Medicare Enrollment ID | O20210408000098 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376134460 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Kenneth J Kirk |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073521332 PECOS PAC ID: 1951309301 Enrollment ID: I20061117000447 |
| Provider Name | Shirliejean Raven Arnold |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831652965 PECOS PAC ID: 8628486339 Enrollment ID: I20210419001797 |
| Provider Name | Itzel D Romo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790376473 PECOS PAC ID: 9234536988 Enrollment ID: I20210922001358 |
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