Individual
DR. KYLE SPARKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
11900 N MACARTHUR BLVD STE F7, OKLAHOMA CITY, OK 73162-1801
(405) 633-0783
(405) 896-8414
Mailing address
10428 NW 37TH ST, YUKON, OK 73099-3209
(405) 519-5304
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5843
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200937650A
—
OK
Enumeration date
09/28/2020
Last updated
11/09/2022
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