Individual
DR. KEN KUYKENDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
333 S 38TH ST, MUSKOGEE, OK 74401-4937
(918) 682-8631
(918) 682-2280
Mailing address
333 S 38TH ST, MUSKOGEE, OK 74401-4937
(918) 682-8631
(918) 682-2280
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
11397
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100117270A
—
OK
01
—
110028597
RAILROAD MEDICARE
OK
Enumeration date
04/05/2006
Last updated
06/13/2008
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