Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Northeast Oklahoma Wellness Clinic LLC

Organization Family Medicine Physician · NPI 1568823938

Northeast Oklahoma Wellness Clinic LLC is a Family Medicine Physician in Tahlequah, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2016.

Licensed in
OK
In the registry since
2016
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1500 E Downing St
Tahlequah, OK 74464-3234
Phone: (918) 456-2594
Fax: (918) 456-3395
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X (OK)

Record details

NPI number1568823938
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Keven Partin — Owner · (918) 893-6201
NPI enumeratedMarch 14, 2016
Last updated in NPPESMarch 14, 2016
Mailing address6312 E 101st St, Tulsa, OK 74137-7007

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