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Individual

DR. KASH KENDALL BIDDLE

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
3300 S ASPEN AVE, STE C, BROKEN ARROW, OK 74012-7501
(918) 455-2416
(918) 455-7546
Mailing address
3300 S ASPEN AVE, STE C, BROKEN ARROW, OK 74012-7501
(918) 455-2416
(918) 455-7546

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
2152
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
10045710A
OK
Enumeration date
05/18/2006
Last updated
07/08/2007
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