Individual
MR. ERIC RAY KUYKENDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
221 S FLORENCE AVE, SUITE 150, CLAREMORE, OK 74017-8221
(918) 341-2020
(918) 341-3888
Mailing address
221 S FLORENCE AVE, 150, CLAREMORE, OK 74017-8221
(918) 341-2020
(918) 341-3888
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2161
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100761690B
—
OK
Enumeration date
12/05/2005
Last updated
03/07/2023
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