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

Clinic at 410 PLLC

Organization Family Nurse Practitioner · NPI 1144065012

Clinic at 410 PLLC provides Family Nurse Practitioner services in Kingston, Oklahoma. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

410 Hwy 70
Kingston, OK 73439
Phone: (580) 565-9975
Fax: (888) 241-2340
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X

Record details

NPI number1144065012
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tressa Matchen — Fnp-Bc · (580) 565-9975
NPI enumeratedJuly 1, 2024
Last updated in NPPESFebruary 25, 2026
Certification dateFebruary 25, 2026
Mailing address410 Highway 70 W, Kingston, OK 73439-8237

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