Individual
LARAMIE KUYKENDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1400 S DOBSON RD, MESA, AZ 85202-4707
(480) 412-3000
Mailing address
674 BELMAR BLVD, NORMAN, OK 73071-8006
(405) 740-8459
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
4865
OK
363A00000X
Physician Assistant
Primary
10566
AZ
363A00000X
Physician Assistant
15-02718
KS
390200000X
Student in an Organized Health Care Education/Training Program
—
KS
Other
Enumeration date
10/19/2022
Last updated
03/05/2025
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