Organization
KM&G INC.
Active
Other names
Foot Solutions
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEVIN JAEGER CPED, LPED (CERTIFIED AND LICENSED PEDORTHIST)
(405) 749-0500
Entity
Organization
Contact information
Practice address
2528 W. MEMORIAL RD, OKLAHOMA CITY, OK 73134-8001
(405) 749-0500
Mailing address
2528 W. MEMORIAL RD, OKLAHOMA CITY, OK 73134-8001
(405) 749-0500
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
84
OK
Other
Enumeration date
11/09/2006
Last updated
01/27/2009
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