Individual
DR. KENT RAGAN SMALLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3432 NW 178TH ST STE A, EDMOND, OK 73012-9150
(405) 696-3773
(405) 757-6953
Mailing address
3432 NW 178TH ST STE A, EDMOND, OK 73012-9150
(405) 696-3773
(405) 757-6953
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
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100094690A
—
OK
Enumeration date
05/23/2006
Last updated
04/29/2019
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