MRS. AMANDA KAYLENE FELKNER


Address: 2307 S Gordon Cooper Dr, Shawnee, OK 74801-9007
Phone: 4052735236

MRS. AMANDA KAYLENE FELKNER (NPI# 1952597833) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1952597833
Entity Type Individual
Full Name MRS. AMANDA KAYLENE FELKNER
Credential LPN
Practice Address 2307 S Gordon Cooper Dr
Shawnee
OK 74801-9007
Practice Telephone 4052735236
Practice Fax Number 4052756160
Mailing Telephone 4052735236
Mailing Fax Number 4052756160
Enumeration Date 2007-09-24
Last Update Date 2007-09-24
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QH0100X Clinic/Center
Specialization: Health Service
0042994 OK Ambulatory Health Care Facilities

Office Location

Street Address 2307 S GORDON COOPER DR
City SHAWNEE
State OK
Zip Code 74801-9007

Providers in the same location

NPI Name Taxonomy Address Enumeration
1871571901 Carrie Ann Wood Internal Medicine 2307 S Gordon Cooper Dr, Shawnee, OK 74801 2006-01-09
1952678518 Dana Marie Kelley Licensed Practical Nurse 2307 S Gordon Cooper Dr, Shawnee, OK 74801-9007 2011-11-28
1326348095 Tina Louise Ferguson Licensed Practical Nurse 2307 S Gordon Cooper Dr, Shawnee, OK 74801-9007 2010-10-28
1528375359 Betty Jane Nicholson Registered Nurse 2307 S Gordon Cooper Dr, Shawnee, OK 74801-9007 2010-08-31
1669786208 Latisha Lynn Bader Psychologist 2307 S Gordon Cooper Dr, Shawnee, OK 74801-9007 2010-08-05
1598954695 Christia Ann Hallinan Licensed Practical Nurse 2307 S Gordon Cooper Dr, Shawnee, OK 74801-9007 2007-10-15
1932396470 Lielani M Tull Clinic/Center 2307 S Gordon Cooper Dr, Shawnee, OK 74801-9007 2007-09-28
1962699884 Samantha Rae Manion Licensed Practical Nurse 2307 S Gordon Cooper Dr, Shawnee, OK 74801-9007 2007-09-25
1104012301 Aubre Ann Reed Clinic/Center 2307 S Gordon Cooper Dr, Shawnee, OK 74801-9007 2007-09-20
1417159690 Ray Tainpeah Counselor 2307 S Gordon Cooper Dr, Shawnee, OK 74801-9007 2007-06-01
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1538609037 Melissa Lanier Specialist 801 N. Louisa, Shawnee, OK 74801 2017-03-02
1518365287 Melanie A. Croy Counselor 1605 N. Harrison, Shawnee, OK 74801 2014-12-12
1134532229 Megan Malouf Registered Nurse 2307 Gordon Cooper Dr., Shawnee, OK 74801 2014-06-05
1063836609 Daniel Antwain Shaw Counselor 605 S. Pottenger Ave, Shawnee, OK 74801 2014-02-18
1639514862 Cheryl Jeannette Left Hand Counselor 101 N. Union, Shawnee, OK 74801 2013-05-01
1881948644 Lena I Samilton Counselor 319 S. Kennedy Ave., Apt.112, Shawnee, OK 74801 2012-11-01
1235433681 Jenifer Sloan Case Manager/Care Coordinator 2029 S. Gordon Cooper Dr., Shawnee, OK 74801 2010-12-28
1295854958 Jack C Luman Dentist 1410 N Harrison St, Shawnee, OK 74801 2007-03-27
1942375274 M Gerald Ball Psychologist 819 North Kickapoo, Shawnee, OK 74801 2006-11-21
1205912573 Regina Steciak Tanner Physical Therapist 909 N Kickapoo, Shawnee, OK 74801 2006-10-31
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Taxonomy Information

Taxonomy Code 261QH0100X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Health Service

Taxonomy Definition

Definition to come...
Notes: [7/1/2006: modified title]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1538358346 Cindy Rebecca Kelly Clinic/Center 2307 Gordon Cooper Dr, Shawnee, OK 74801-9007 2007-10-17
1932396470 Lielani M Tull Clinic/Center 2307 S Gordon Cooper Dr, Shawnee, OK 74801-9007 2007-09-28
1104012301 Aubre Ann Reed Clinic/Center 2307 S Gordon Cooper Dr, Shawnee, OK 74801-9007 2007-09-20
1336342963 Fastcare Medical Clinic of Shawnee Clinic/Center 1605 N Harrison St, Shawnee, OK 74804-4036 2007-06-10

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1033759519 Arabella Medical Spa LLC Clinic/Center 701 S Mustang Rd, Yukon, OK 73099-6778 2020-01-13
1245763739 Essence Massage Clinic/Center 782 E Pine St, Tulsa, OK 74106-5925 2017-04-11
1033521430 The Back Stop LLC Clinic/Center 373 S Yukon Pkwy Ste C, Yukon, OK 73099-4597 2014-05-20
1164866737 Vitality Wellness Clinic/Center 5740 Nw 135th St., Oklahoma City, OK 73142 2013-04-25
1881931509 Wildhorse Family Practice & Urgent Care Clinic/Center 1024 W Cherokee, Sallisaw, OK 74955 2013-01-15
1972863041 Fgg LLC Clinic/Center 755 Jenkins Ave, Norman, OK 73069-4951 2012-05-23
1992008072 Arthritis & Rheumatology Center of Oklahoma Clinic/Center 1111 N Lee Ave Ste 249, Oklahoma City, OK 73103-2600 2010-12-13
1598072050 Health Watch Medical Center Clinic/Center 1924 N Portland Ave, Oklahoma City, OK 73107-1532 2010-09-04
1922313972 Clear Focus Cv Ultrasound Services Clinic/Center 502 Oak, Ardmore, OK 73401-3830 2010-08-15
1215172804 Med-labs LLC Clinic/Center 11014 E 51st St, Tulsa, OK 74146-5820 2008-12-10
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Competitor

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City SHAWNEE
Zip Code 74801

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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