Individual
TRACY D KUYKENDALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1218 E 9TH ST, EDMOND, OK 73034-5952
(405) 301-8010
(918) 994-4403
Mailing address
1218 E 9TH ST STE 1, EDMOND, OK 73034-5796
(405) 301-8010
(888) 720-0860
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
23494
OK
207NS0135X
Procedural Dermatology Physician
23494
OK
Other
Enumeration date
02/06/2007
Last updated
07/13/2023
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