Individual
KACEY MCCONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1923 S UTICA AVE, TULSA, OK 74104-6520
(918) 634-7691
Mailing address
4502 E 41ST ST, TULSA, OK 74135-2536
(918) 634-7691
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
6025
OK
Other
Enumeration date
05/08/2015
Last updated
04/07/2017
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