Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Northeast Oklahoma Wellness Clinic LLC

Organization Family Medicine Physician · NPI 1568823938

Northeast Oklahoma Wellness Clinic LLC provides Family Medicine Physician services 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 Not confirmed with CMS for 10 years — call before visiting
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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