Healthcare Provider Details

I. General information

NPI: 1164582599
Provider Name (Legal Business Name): WESTVIEW SWAMI CLINIC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/08/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3140 W. HAYES AVE.
CLINTON OK
73601
US

IV. Provider business mailing address

3140 W. HAYES AVE.
CLINTON OK
73601
US

V. Phone/Fax

Practice location:
  • Phone: 580-323-1937
  • Fax: 580-323-1156
Mailing address:
  • Phone: 580-323-1937
  • Fax: 580-323-1156

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberR0057523
License Number StateOK
# 2
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number18658
License Number StateOK

VIII. Authorized Official

Name: KRISTY BAKER
Title or Position: PROVIDER
Credential: ARNP
Phone: 580-323-1937