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CHOCTAW HEALTH & WELLNESS CLINIC, LLC
NPI 1457013328
Nurse Practitioner - Family in Choctaw, OK

Active since October 08, 2021
14890 SE 29TH ST, SUITE 106, CHOCTAW, OK 73020(405) 281-1027(405) 281-1006 Get Directions Write a Review

NPPES record last updated: October 8, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Choctaw Health & Wellness Clinic, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHOCTAW HEALTH & WELLNESS CLINIC, LLC (NPI 1457013328) is a healthcare organization registered as a family in Choctaw, Oklahoma and active in the NPI registry since October 2021. The organization lists Kimberly Khan, Owner, as its authorized official.

NPPES Registry Identity

NPI1457013328
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameCHOCTAW HEALTH & WELLNESS CLINIC, LLC
Location Address14890 SE 29TH ST, SUITE 106Choctaw, OK 73020
Mailing Address14890 Se 29th St, Suite 106Choctaw, OK 73020 · (405) 281-1027 · Fax (405) 281-1006
Phone(405) 281-1027
Fax(405) 281-1006
Organization SubpartNo
Authorized OfficialKimberly KhanOwner · (405) 281-1027
Enumeration DateOctober 8, 2021
NPPES CertifiedOctober 8, 2021
✔ NPI 1457013328 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
14890 SE 29TH ST, Choctaw, OK 73020
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JEFFREY MICHAEL HOGAN PT, MPT
Physical Therapist
14890 SE 29TH ST
CHOCTAW, OK 73020
Oklahoma County (405) 390-1731
CHOCTAW WOMENS CLINIC PLLC
Nurse Practitioner (Family)
14890 SE 29TH ST, SUITE 106
CHOCTAW, OK 73020
Oklahoma County (405) 620-0049
KIMBERLY SUE KHAN ARNP
Nurse Practitioner (Family)
14890 SE 29TH ST, STE 106
CHOCTAW, OK 73020
Oklahoma County (405) 281-1027
PTMS 3.0, LLC
Physical Therapist
14890 SE 29TH ST
CHOCTAW, OK 73020
Oklahoma County (405) 390-1731
CHANDLER FRY DPT
Physical Therapist
14890 SE 29TH ST
CHOCTAW, OK 73020
Oklahoma County (405) 390-1731
PRESTON RUNYAN
Physical Therapist
14890 SE 29TH ST
CHOCTAW, OK 73020
Oklahoma County (405) 390-1731
LACEY R FAIRBROTHER PT, DPT
Physical Therapist
14890 SE 29TH ST
CHOCTAW, OK 73020
Oklahoma County (405) 390-1731
ESMERALDA ANGELES DPT
Physical Therapist
14890 SE 29TH ST
CHOCTAW, OK 73020
Oklahoma County (405) 390-1731

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Choctaw Health & Wellness Clinic, LLC's NPI number?

The NPI number for Choctaw Health & Wellness Clinic, LLC is 1457013328. It was assigned to this organization in the NPPES registry on October 8, 2021.

Where is Choctaw Health & Wellness Clinic, LLC located?

Choctaw Health & Wellness Clinic, LLC is located at 14890 SE 29th St Suite 106, Choctaw, OK 73020. The listed phone number is (405) 281-1027.

What is Choctaw Health & Wellness Clinic, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Choctaw Health & Wellness Clinic, LLC was last updated on October 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.