Organization
AKY MD, LLC
Active
Parent organization
AKY, MD LLC
Other names
Just Kids Pediatrics
Organization subpart
Yes
Provider details
NPI number
Legal business name
AKY, MD LLC
Authorized official
LESLEY HENTHORN (CREDENTIALING)
(052) 373-7704
Entity
Organization
Contact information
Practice address
400 N EASTERN AVE, MOORE, OK 73160-5833
(405) 757-7818
(405) 703-0645
Mailing address
PO BOX 891625, OKLAHOMA CITY, OK 73189-1625
(405) 757-7818
(888) 673-6461
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
—
—
208000000X
Pediatrics Physician
Primary
—
—
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200509800
—
OK
05
—
200509800A
—
OK
05
—
200509800B
—
OK
05
—
200509800C
—
OK
05
—
200509800D
—
OK
Enumeration date
08/30/2013
Last updated
08/05/2025
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