Individual
DR. NATHAN KELLY BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2302 S FRONTAGE RD, KINGFISHER, OK 73750
(405) 375-5855
Mailing address
2302 S FRONTAGE RD, KINGFISHER, OK 73750
(405) 375-5855
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5938
OK
Other
Enumeration date
06/25/2007
Last updated
07/08/2007
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