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Active NPI 1699083972 Organization (Entity Type 2)

Knowledge Tree, Llc

Specialist • Fairview, OK

About Knowledge Tree, Llc NPI 1699083972 Summary

Knowledge Tree, Llc is a verified healthcare organization specializing in Specialist operating in Fairview, OK. Located at 2004 COMMERCE, this facility provides patient care and medical services under National Provider Identifier (NPI) 1699083972.

Administrative operations and authorized compliance are overseen by Tonya Randall (Chief Operating Manager).

Facility Location & Contact Primary Location

Facility Address

2004 Commerce

Fairview, OK 737379620

Telephone 5808220105

Authorized Official Information

Authorized Contact Name

Tonya Randall

Title / Role

Chief Operating Manager

Official Telephone

5808220105

Facility Classifications & Specialties

Specialist Primary Taxonomy

NUCC Taxonomy Code: 174400000X

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Facility & Registry History Timeline

Chronological log of verified NPI organization updates, branch relocations, and registry updates

6 Historical Events
NPI Profile Active September 20, 2010

NPI status registered as active in NPPES database

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Updated Practice Location September 20, 2010

Registered at 2004 COMMERCE, FAIRVIEW, OK 737379620 (Tel: 5808220105)

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Updated Business Mailing Address September 20, 2010

Registered at PO BOX 165, FAIRVIEW, OK 737370165

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Organization / Clinic Name Updated September 20, 2010

Operating as KNOWLEDGE TREE, LLC

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Medical Taxonomy / Specialty Registered (Primary Specialty) September 20, 2010

Specialist

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Initial NPI Registration & Enumeration September 20, 2010

First registered as active Healthcare Organization in NPPES Database.

Patient & Community Reviews

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NPI Organization Metadata

NPI Number: 1699083972
Entity Type:
Organization Organization (Hospital, Clinic, Group Practice) (Type 2 NPI)
Enumeration Date: September 20, 2010
Last Update: September 20, 2010

Mailing Address

Po Box 165

Fairview, OK 737370165

Public Domain Record This organization profile is sourced from public domain datasets published by CMS and NPPES under FOIA.
⚠️ Medical Disclaimer

Facility details are provided for public information only. In case of a medical emergency, call 911 immediately.