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Individual
DR. KENT RAGAN SMALLEY
Active
Individual
DR. KENT RAGAN SMALLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
Primary
18860
OK
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
18860
OK
2084B0040X
Behavioral Neurology & Neuropsychiatry Physician
18860
OK
2084P2900X
Pain Medicine (Psychiatry & Neurology) Physician
18860
OK
Other
Enumeration date
05/23/2006
Last updated
04/29/2019
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