Healthcare Provider Details

I. General information

NPI: 1801412937
Provider Name (Legal Business Name): TURN KEY HEALTH CLINICIANS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/24/2020
Last Update Date: 06/24/2020
Certification Date: 06/24/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19 NE 50TH ST
OKLAHOMA CITY OK
73105-1807
US

IV. Provider business mailing address

19 NE 50TH ST
OKLAHOMA CITY OK
73105-1807
US

V. Phone/Fax

Practice location:
  • Phone: 405-516-0276
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: ALEXANDRA AH LOY
Title or Position: GENERAL COUNSEL
Credential:
Phone: 405-516-0276